Organization
PSYCHOLOGY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CLEARY (CEO)
(626) 274-3486
Entity
Organization
Contact information
Practice address
1103 S HARBOR BLVD, SUITE H, SANTA ANA, CA 92704-2347
(626) 274-3486
Mailing address
1103 S HARBOR BLVD, SUITE H, SANTA ANA, CA 92704-2347
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY24393
CA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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