Individual
IRIS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2223 E WELLINGTON AVE, SUITE 350, SANTA ANA, CA 92701-3161
(714) 558-0303
Mailing address
2223 E WELLINGTON AVE, SUITE 350, SANTA ANA, CA 92701-3161
(714) 558-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26661
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2011
Last updated
12/01/2015
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