Individual
VANESSA STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660-8105
(949) 887-7187
(949) 476-3080
Mailing address
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660-8105
(949) 887-7187
(949) 476-3080
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY-004971
AZ
103G00000X
Clinical Neuropsychologist
Primary
PSY31960
CA
Other
Enumeration date
06/21/2018
Last updated
01/11/2021
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