Individual
DR. BRENDA IRA POLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PSY.D.
Contact information
Practice address
111 PACIFICA, SUITE 270, IRVINE, CA 92618-3310
(949) 341-0393
(949) 715-9029
Mailing address
635 FONTANA WAY, LAGUNA BEACH, CA 92651-4053
(949) 715-9019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10179
CA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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