MEDICARE: DR. JULIET LE RANKIN PH.D.

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
1	103TC0700X	Clinical Psychologist	PSY 20846	CA

General Provider Information

NPI Number	:	1124040357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIET LE RANKIN PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 7244
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92863-7244
Country	:	US
Telephone Number	:	714-343-9213
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3205
Country	:	US
Telephone Number	:	714-343-9213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	04/09/2014

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