Healthcare Provider Details

I. General information

NPI: 1902079221
Provider Name (Legal Business Name): NADIA TORRES-EATON PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NADIA TORRES PSY.D.

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 S MAIN ST
ORANGE CA
92868-3835
US

IV. Provider business mailing address

455 S MAIN ST
ORANGE CA
92868-3835
US

V. Phone/Fax

Practice location:
  • Phone: 714-532-8481
  • Fax: 714-532-8756
Mailing address:
  • Phone: 714-532-8481
  • Fax: 714-532-8756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY21920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: