Organization
DENISE A MOCK, PHD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE A MOCK (OWNER)
(805) 237-0058
Entity
Organization
Contact information
Practice address
1244 PINE ST STE 208, PASO ROBLES, CA 93446-7240
(805) 237-0058
Mailing address
1244 PINE ST STE 208, PASO ROBLES, CA 93446-7240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17921
CA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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