Individual
LANA RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
160 S FAIRMONT BLVD, ANAHEIM, CA 92808
(714) 998-7232
Mailing address
7272 WURZBACH ROAD, SUTIE 601, SAN ANTONIO, TX 78240-4803
(310) 984-3055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
0810006031
VA
103TC0700X
Clinical Psychologist
36725
TX
225A00000X
Music Therapist
07084
CA
Other
Enumeration date
01/26/2007
Last updated
08/23/2018
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