Organization
AFFILIATED PSYCHIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER EDITH SELLERS PH.D (CLINICAL PSYCHOLOGIST)
(949) 489-9898
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES, #226, SAN CLEMENTE, CA 92673-2807
(949) 489-9898
(949) 489-2569
Mailing address
647 CAMINO DE LOS MARES, #226, SAN CLEMENTE, CA 92673-2807
(949) 489-9898
(949) 489-2569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY140020
—
CA
Enumeration date
06/09/2009
Last updated
06/09/2009
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