Individual
DR. ARMIDA IGLESIAS BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2030 E 4TH ST, SUITE 148, SANTA ANA, CA 92705-3940
(714) 335-0147
Mailing address
2030 E 4TH ST, SUITE 148, SANTA ANA, CA 92705-3940
(714) 335-0147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20893
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY20893
CA
103TF0000X
Family Psychologist
PSY20893
CA
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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