Individual
DR. GEORGE LOUIS COLLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41914 50TH ST W, QUARTZ HILL, CA 93536-2963
(661) 722-0716
Mailing address
41914 50TH ST W, QUARTZ HILL, CA 93536-2963
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3380
CA
103TS0200X
School Psychologist
3380
CA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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