Individual
HEATHER MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(323) 478-8200
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35063
CA
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
11/20/2024
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