Organization · Type 2 NPI

Socal Center for Change

Prescribing (Medical) Psychologist · Orange, CA

NPI number 1104183292 Active

Practice location

1110 E Chapman Ave, Suite 204
Orange, CA 92866-2139

Fax (714) 453-0691

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

13 other providers at this address

About NPI 1104183292

Socal Center for Change's National Provider Identifier is 1104183292, issued on Apr 13, 2012. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Orange, CA. The record was last updated on Apr 13, 2012.