Organization
PSYCHOLOGICAL ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND JULES CHABOT PH.D. (PSYCHOLOGIST)
(714) 972-0040
Entity
Organization
Contact information
Practice address
2107 N BROADWAY, SUITE 207, SANTA ANA, CA 92706-2630
(714) 972-0040
(714) 972-0477
Mailing address
2107 N BROADWAY, SUITE 207, SANTA ANA, CA 92706-2630
(714) 972-0040
(714) 972-0477
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY41140
CA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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