Organization
ALLIED PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA VAFADAR PSYD (OWNER/ CLINICAL PSYCHOLOGIST)
(714) 394-0017
Entity
Organization
Contact information
Practice address
23 CORPORATE PLAZA DR STE 150, NEWPORT BEACH, CA 92660-7908
(949) 329-7337
Mailing address
21 CROCKETT, IRVINE, CA 92620-3331
(714) 394-0017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY28213
BOARD OF PSYCHOLOGY
CA
Enumeration date
10/09/2017
Last updated
03/04/2020
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