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1023001054
JERRY GEORGE SOUCY
HUNTINGTON BEACH, CA
NPI
1023001054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy 10209)
Enumeration Date
2005-08-24
Last Update Date
2024-10-20
Business Address
Dr. JERRY GEORGE SOUCY Ph.D.
16152 BEACH BLVD
HUNTINGTON BEACH, CA 92647-3806
Phone number: 714-842-7060
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Mailing Address
Dr. JERRY GEORGE SOUCY Ph.D.
16152 BEACH BLVD
HUNTINGTON BEACH, CA 92647-3868
Phone number: 714-842-7060
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