Healthcare Provider Details

I. General information

NPI: 1487518262
Provider Name (Legal Business Name): TRANSFORMATIVE ASSESSMENT PSYCHOLOGICAL SERVICES, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41197 GOLDEN GATE CIR STE 201
MURRIETA CA
92562-6999
US

IV. Provider business mailing address

41197 GOLDEN GATE CIR STE 201
MURRIETA CA
92562-6999
US

V. Phone/Fax

Practice location:
  • Phone: 562-256-5862
  • Fax:
Mailing address:
  • Phone: 562-256-5862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: WESCINA LOWE
Title or Position: CEO
Credential: PSYCHOLOGIST
Phone: 562-256-5862