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

DR. DENISE AJALAT THEBERGE, PH.D.

Active Sole Proprietor

DR. DENISE AJALAT THEBERGE, PH.D. is a Family Psychologist healthcare provider located in NEWHALL, California. NPI 1851584528 is currently active in the NPPES registry. Verify at CMS.

Family Psychologist · NEWHALL, CA

Registration Details

NPI Number
1851584528
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2007 (19.015167890429 yrs)
Last Updated
Aug 24, 2007
License
PSY16031 (CA)
Sole Proprietor
Yes

Practice Information

Address
23030 LYONS AVE
# 202
NEWHALL, CA, 913212752
Browse CA providers · Browse ZIP 91321
Phone
6612543577
Primary Specialty
Family Psychologist
103TF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.