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Individual

DR. LATEEFH WIELENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
3531 JULIAN AVE, LONG BEACH, CA 90808-3111
(562) 895-0516
(562) 684-0113
Mailing address
3531 JULIAN AVE, LONG BEACH, CA 90808-3111
(562) 895-0516
(562) 684-0113

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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