Healthcare Provider Details

I. General information

NPI: 1942406368
Provider Name (Legal Business Name): ELENA MARGARITA ABALO-DEHMER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELENA MARGARITA DEHMER PH.D.

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W LA PALMA AVE 401
ANAHEIM CA
92801-2639
US

IV. Provider business mailing address

2411 W LA PALMA AVE 401
ANAHEIM CA
92801-2639
US

V. Phone/Fax

Practice location:
  • Phone: 714-318-2606
  • Fax:
Mailing address:
  • Phone: 714-318-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14111
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY14111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: