Individual
LORENA MACIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 DOLPHIN ST, FOUNTAIN VALLEY, CA 92708-4600
(714) 964-7766
Mailing address
5832 BOLSA AVE, HUNTINGTON BEACH, CA 92649-1181
(714) 964-7766
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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