Individual
DR. EUGENE ALBERT MODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 CARMEN DR, STE 211, CAMARILLO, CA 93010-3103
(805) 987-3727
(805) 484-0356
Mailing address
1601 CARMEN DR, STE 211, CAMARILLO, CA 93010-3103
(805) 987-3727
(805) 484-0356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 5021
CA
Other
Enumeration date
10/24/2006
Last updated
10/26/2016
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