Individual
ANTHOULA POULAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 CITY PKWY W, ORANGE, CA 92868-2941
(714) 480-5115
Mailing address
500 CITY PKWY W, ORANGE, CA 92868-2941
(714) 480-5115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
09/08/2023
Last updated
10/27/2025
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