Individual
DR. CHARLES GERALD O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4401 ATLANTIC AVE, SUITE 200, LONG BEACH, CA 90807-2218
(562) 984-2044
Mailing address
4661 CATHY AVE, CYPRESS, CA 90630-4213
(714) 761-7091
(714) 761-7019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 9874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 9874
PSYCHOLOGIST LICENSE
CA
Enumeration date
07/06/2006
Last updated
07/08/2007
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