Organization
OC NEUROPSYCH, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN BENNETT PHD (PRESIDENT)
(949) 291-2736
Entity
Organization
Contact information
Practice address
16405 SAND CANYON AVE STE 220, IRVINE, CA 92618-3787
(949) 336-8150
Mailing address
16405 SAND CANYON AVE STE 220, IRVINE, CA 92618-3787
(949) 336-8150
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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