Organization
NEKORANEC PSYCHOLOGY, A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANISE MARIE NEKORANEC PH.D. (OWNER)
(949) 371-7856
Entity
Organization
Contact information
Practice address
30230 RANCHO VIEJO RD # 134, SAN JUAN CAPISTRANO, CA 92675-1557
(949) 371-7856
Mailing address
30230 RANCHO VIEJO RD # 134, SAN JUAN CAPISTRANO, CA 92675-1557
(949) 371-7856
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831439652
NPPES
CA
01
—
GY831A
MEDICARE PTAN
CA
Enumeration date
11/13/2014
Last updated
02/04/2015
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