Organization
JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION
Active
Parent organization
JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION
Authorized official
DR. JOSEPH M MALANCHARUVIL PH.D., ABPP (PSYCHOLOGIST)
(951) 347-3765
Entity
Organization
Contact information
Practice address
2048 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4835
(951) 347-3765
(909) 881-3765
Mailing address
2048 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4835
(951) 347-3765
(909) 881-3765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY8026
CA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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