Organization
CENTER FOR COGNITIVE THERAPY AND SPORT PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OAKLEY PHD (OWNER)
(310) 738-6302
Entity
Organization
Contact information
Practice address
3 POINTE DR STE 305, BREA, CA 92821-7623
(310) 738-6302
Mailing address
3 POINTE DR STE 305, BREA, CA 92821-7623
(310) 738-6302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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