Individual
MATTHEW WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17595 HARVARD AVE STE C-641, IRVINE, CA 92614-8516
(818) 391-6419
Mailing address
17595 HARVARD AVE STE C-641, IRVINE, CA 92614-8516
(818) 391-6419
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
119676
CA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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