Organization
DE ANDA PSYCHOLOGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WRAY E DE ANDA PSY.D 25484 (CLINICAL PSYCHOLOGIST)
(714) 623-0997
Entity
Organization
Contact information
Practice address
13502 WHITTIER BLVD # H-507, WHITTIER, CA 90605-1945
(714) 623-0997
Mailing address
13502 WHITTIER BLVD # H-507, WHITTIER, CA 90605-1945
(714) 623-0997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396993127
NPI
CA
Enumeration date
05/03/2019
Last updated
12/02/2022
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