PROVIA PSYCHOLOGY, INC.

LONG BEACH, CA
NPI1932718350
Entity TypeOrganization
Authorized ContactSTACIA E DEIRO
President
949-500-6475
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
PROVIA PSYCHOLOGY, INC.
2530 ATLANTIC AVE STE A
LONG BEACH, CA 90806-2741
Phone number: 949-500-6475
Mailing Address
PROVIA PSYCHOLOGY, INC.
2530 ATLANTIC AVE STE A
LONG BEACH, CA 90806-2741
Phone number: 949-500-6475
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