Individual
MALEIA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-7377
Mailing address
PO BOX 8686, RANCHO CUCAMONGA, CA 91701-0686
(909) 921-7918
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
32395
CA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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