Individual
DR. BRIAN LEE MAYHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3070 BRISTOL ST., SUITE 350, COSTA MESA, CA 92626
(949) 230-4905
Mailing address
P.O. BOX 30018, LAGUNA NIGUEL, CA 92607-0018
(949) 230-4905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 12369
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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