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Individual

MICHELLE M LEPAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LEP

Contact information

Practice address
2 CORPORATE PLAZA DR STE 150, NEWPORT BEACH, CA 92660-7952
(714) 651-6369
Mailing address
11 ALASSIO, IRVINE, CA 92620-2569
(714) 651-6369

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
4321
CA

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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