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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA

Active Organization

DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA is a Clinical Psychologist organization located in IRVINE, California. NPI 1154638450 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · IRVINE, CA

Registration Details

NPI Number
1154638450
Provider Type
Organization
NPI Issued
Sep 8, 2010 (15.922546511977 yrs)
Last Updated
Jul 1, 2020
License
PSY21506 (CA)

Practice Information

Address
4199 CAMPUS DR.
SUITE 550
IRVINE, CA, 92612
Browse CA providers · Browse ZIP 92612
Phone
9494224488
Fax
9496402255
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.