Individual provider · Type 1 NPI

Judith Ruth Profant, PhD, CBSM

Clinical Psychologist · Newport Beach, CA

NPI number 1346485810 Active

Practice location

5001 Birch St
Newport Beach, CA 92660-2116

Call (949) 302-2020 Map

Mailing address

PO Box 727
Corona Del Mar, CA 92625-0727

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY20784 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1346485810

Judith Ruth Profant, PhD, CBSM's National Provider Identifier is 1346485810, issued on Dec 11, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Newport Beach, CA. The record was last updated on Dec 11, 2008.