Individual
DR. ASHLEY VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32536
CA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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