Organization
ROBERT E RECORD PHD A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E RECORD PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(714) 904-0679
Entity
Organization
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(714) 904-0679
Mailing address
PO BOX 2189, YORBA LINDA, CA 92885-1389
(714) 904-0679
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
PSY6946
CA
302R00000X
Health Maintenance Organization
Primary
PSY6946
CA
Other
Enumeration date
01/17/2013
Last updated
01/04/2016
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