Individual provider · Type 1 NPI

Jessica Lara De Santiago, PSY.D.

Psychologist · Fontana, CA

NPI number 1750717880 Active

Practice location

16465 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1242

Fax (833) 903-0337

Mailing address

PO Box 1388
Chino Hills, CA 91709-0047

Other practice locations

  • 3200 Motor Ave, Los Angeles, CA 90034-3710 · (310) 836-1223

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Counselor 225C00000XNone listed
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1750717880

Jessica Lara De Santiago, PSY.D.'s National Provider Identifier is 1750717880, issued on Sep 20, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fontana, CA. The record was last updated on May 7, 2024.