Individual
AN VAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1801 E. PARKCOURT E105, SANTA ANA, CA 92701
(714) 454-4842
Mailing address
1801 E. PARKCOURT E105, SANTA ANA, CA 92701
(714) 454-4842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 17328
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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