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NPI Code Detail

MEDICARE: DR. JEAN FROMM PHD

MEDICARE: DR. JEAN FROMM PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY 10324CA

General Provider Information

NPI Number : 1598739245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN FROMM PHD
Provider Business Mailing Address
First Line : 2892 N BELLFLOWER BLVD
Second Line : # 432
City : LONG BEACH
State : CA
Zip : 90815-1125
Country : US
Telephone Number : 562-597-8777
Fax Number : 562-597-3563
Provider Business Practice Location Address
First Line : 5150 E PACIFIC COAST HWY
Second Line : STE 200
City : LONG BEACH
State : CA
Zip : 90804-3399
Country : US
Telephone Number : 562-597-8777
Fax Number : 562-286-6036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 02/01/2018

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