CAROLINE ANN PROUVOST

TUSTIN, CA
NPI1396092565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY30457)
Enumeration Date2012-08-07
Last Update Date2026-04-30
Business Address
Dr. CAROLINE ANN PROUVOST
13217 JAMBOREE RD #161
TUSTIN, CA 92782
Phone number: 714-253-7710
Mailing Address
Dr. CAROLINE ANN PROUVOST
13217 JAMBOREE RD #161
TUSTIN, CA 92782
Phone number: 714-253-7710
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