ELLEN MARIE THEOBALD

RIVERSIDE, CA
NPI1962576223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY9953)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Mrs. ELLEN MARIE THEOBALD PhD
5015 CANYON CREST DR SUITE 203
RIVERSIDE, CA 92507
Phone number: 951-369-7416
Mailing Address
Mrs. ELLEN MARIE THEOBALD PhD
5307 STONEWOOD DR
RIVERSIDE, CA 92506
Phone number: 951-683-2684
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