Individual provider · Type 1 NPI

Stacey Aoto-Sullivan, PSY.D.

Clinical Psychologist · Costa Mesa, CA

NPI number 1952500266 Active

Practice location

2900 Bristol St, Suite A108
Costa Mesa, CA 92626-5981

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY18438 (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 1952500266

Stacey Aoto-Sullivan, PSY.D.'s National Provider Identifier is 1952500266, issued on Jul 16, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 16, 2007.