Organization
INNER PEACE PSYCHOTHERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TUCKER (PSYCHOLOGIST)
(858) 775-8040
Entity
Organization
Contact information
Practice address
14751 PLAZA DR, SUITE F, TUSTIN, CA 92780-2702
(858) 775-8040
(714) 544-4472
Mailing address
14751 PLAZA DR, SUITE F, TUSTIN, CA 92780-2702
(858) 775-8040
(714) 544-4472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY23827
CA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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