Individual
LAUREN VICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 N HESPERIAN ST, SANTA ANA, CA 92706-1151
(714) 836-2700
Mailing address
5342 W 126TH ST, HAWTHORNE, CA 90250-4129
(719) 660-3465
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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