Individual
JOSEPH MICHAEL CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 E CHAPMAN AVE STE 202, ORANGE, CA 92866-2139
(714) 744-9754
Mailing address
PO BOX 626, ORANGE, CA 92856-6626
(714) 744-9754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5963
CA
Other
Enumeration date
02/06/2024
Last updated
05/14/2024
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