Individual
LETICIA RODRIGUES COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1120 W LA VETA AVE STE 470, ORANGE, CA 92868-4233
(347) 255-6489
Mailing address
1120 W LA VETA AVE STE 470, ORANGE, CA 92868-4233
(714) 509-0481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94026834
CA
Other
Enumeration date
06/29/2018
Last updated
09/26/2022
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