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1104956556
LAURIE ELLEN BERENSON
VISTA, CA
NPI
1104956556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY12568)
Enumeration Date
2007-03-06
Last Update Date
2017-11-17
Business Address
LAURIE ELLEN BERENSON Psy.D.
450 S MELROSE DR STE 113
VISTA, CA 92081-6674
Phone number: 760-224-4333
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Mailing Address
LAURIE ELLEN BERENSON Psy.D.
450 S MELROSE DR STE 113
VISTA, CA 92081-6674
Phone number: 760-224-4333
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