Individual
TERESA MALYKA CHEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 THE CITY DRIVE, ORANGE, CA 92868-3205
(714) 935-6363
Mailing address
12432 REBECCA LN, SANTA ANA, CA 92705-3215
(714) 769-5643
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
06/24/2019
Last updated
06/24/2019
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