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Individual

MS. EILEEN PANIAGUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
23 CORPORATE PLAZA DR, SUITE 150, NEWPORT BEACH, CA 92660
(949) 887-2007
Mailing address
23 CORPORATE PLAZA DR STE 150, NEWPORT BEACH, CA 92660-7908
(949) 887-2007

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
26906
CA

Other

Enumeration date
05/24/2011
Last updated
07/09/2018
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