Individual
DR. TESSY TATIANA PUMACCAHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
3183 WILSHIRE BLVD # 196B16, LOS ANGELES, CA 90010-1211
(213) 204-8802
Mailing address
3183 WILSHIRE BLVD # 196B16, LOS ANGELES, CA 90010-1211
(213) 204-8802
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
34468
CA
Other
Enumeration date
09/11/2018
Last updated
06/20/2024
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