Individual
LIZE TIBIRICA DE CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2312 PARK AVE # 466, TUSTIN, CA 92782-2702
(626) 995-0118
Mailing address
2312 PARK AVE # 466, TUSTIN, CA 92782-2702
(626) 995-0118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34069
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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