Organization · Type 2 NPI

Ponciano Wellness, LLC

Clinical Psychologist · Los Alamitos, CA

NPI number 1790077543 Active

Practice location

5212 Katella Ave, Suite 202
Los Alamitos, CA 90720-2828

Fax (562) 493-0922

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15130 (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 1790077543

Ponciano Wellness, LLC's National Provider Identifier is 1790077543, issued on May 12, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Alamitos, CA. The record was last updated on May 12, 2011.