Healthcare Provider Details

I. General information

NPI: 1740245489
Provider Name (Legal Business Name): A CORPORATE REFERRAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 01/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 MAYFAIR DR
PASADENA CA
91107-2214
US

IV. Provider business mailing address

3770 MAYFAIR DR
PASADENA CA
91107-2214
US

V. Phone/Fax

Practice location:
  • Phone: 661-904-0177
  • Fax:
Mailing address:
  • Phone: 661-904-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY9584
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMI5574
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberSPY9584
License Number StateCA

VIII. Authorized Official

Name: DR. EDWARD FRANCIS REED
Title or Position: PRESIDENT
Credential: ED.D.
Phone: 661-904-0177