Individual
STEPHANIE T. IMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 N BROADWAY, SUITE 207, SANTA ANA, CA 92706
(714) 972-0040
Mailing address
P.O. BOX 6299, LAGUNA NIGUEL, CA 92607
(714) 972-0040
(714) 460-2010
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
94023427
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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