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Organization

GEORGINA INES LAMPHERE A PROFESSIONAL PSYCHOLOGY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGINA INES LAMPHERE SULLIVAN PHD (CLINICAL PSYCHOLOGIST)
(909) 987-1997
Entity
Organization

Contact information

Practice address
10832 LAUREL ST STE 102, RANCHO CUCAMONGA, CA 91730-7688
(909) 987-1997
(909) 987-0993
Mailing address
10832 LAUREL ST STE 102, RANCHO CUCAMONGA, CA 91730-7688
(909) 987-1997
(909) 987-0993

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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