Individual
DR. TALIA ROSE SEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Contact information
Practice address
29122 RANCHO VIEJO RD STE 102G, SAN JUAN CAPISTRANO, CA 92675-1019
(858) 693-3113
(858) 312-8460
Mailing address
29122 RANCHO VIEJO RD STE 102G, SAN JUAN CAPISTRANO, CA 92675-1019
(858) 693-3113
(858) 312-8460
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31770
CA
Other
Enumeration date
04/15/2020
Last updated
02/14/2024
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