Individual
DR. ANASTASIA ELAINA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
625 FAIR OAKS AVE STE 101, SOUTH PASADENA, CA 91030-2685
(626) 765-4482
Mailing address
110 EL NIDO AVE APT 69, PASADENA, CA 91107-4489
(805) 358-0246
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
33553
CA
103TC0700X
Clinical Psychologist
Primary
33553
CA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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