Organization · Type 2 NPI
Fullerton Counseling and Medical Group, Inc
Prescribing (Medical) Psychologist · Fullerton, CA
Practice location
2228 N State College Blvd
Fullerton, CA 92831-1361
Fax (714) 990-0142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | PSY6172 (CA) |
| Mental Health Counselor | 101YM0800X | PSY15282 (CA) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | C38832 (CA) |
| Marriage & Family Therapist | 106H00000X | ML012201 (CA) |
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
5 other providers at this address
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- John C. Gardner, ML-012201Marriage & Family Therapist Fullerton, CA NPI 1932322484
- Justine Anne Petrie, MDPsychiatry Physician Fullerton, CA NPI 1730264912
- Kimberly Marie Hagan, PhDClinical Psychologist Fullerton, CA NPI 1861584922
- Richard A. Fry, PhDClinical Psychologist Fullerton, CA NPI 1124113550
About NPI 1821131673
Fullerton Counseling and Medical Group, Inc's National Provider Identifier is 1821131673, issued on Feb 14, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fullerton, CA. The record was last updated on Mar 26, 2015.