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Individual

MS. EMILY DALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
41 E FOOTHILL BLVD STE 102, ARCADIA, CA 91006-2361
(626) 701-4249
(626) 737-6034
Mailing address
4422 1/2 LINCOLN AVE, LOS ANGELES, CA 90041-3322
(323) 383-7648

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30976
CA
225C00000X
Rehabilitation Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01261511
CA
01
30976
BOARD OF PSYCHOLOGY
CA
Enumeration date
11/08/2012
Last updated
07/29/2019
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