Individual
DR. ADRIENNE ELIZABETH PASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8941 ATLANTA AVE, STE 319, HUNTINGTON BEACH, CA 92646-7121
(949) 201-5779
(877) 209-7251
Mailing address
8941 ATLANTA AVE, STE 319, HUNTINGTON BEACH, CA 92646-7121
(949) 201-5779
(877) 209-7251
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
23321
CA
103TC0700X
Clinical Psychologist
Primary
23321
CA
103TC2200X
Clinical Child & Adolescent Psychologist
23321
CA
314000000X
Skilled Nursing Facility
23321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD OPL233211
BLUE SHIELD
CA
Enumeration date
02/03/2010
Last updated
02/22/2016
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