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NPI Code Detail

MEDICARE: DR. IOANA PAL PSYD

MEDICARE: DR. IOANA PAL PSYD
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
1103TC0700XClinical PsychologistPSY28368CA

General Provider Information

NPI Number : 1861682569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IOANA PAL PSYD
Provider Business Mailing Address
First Line : 2651 ELM AVE
Second Line : SUITE 205
City : LONG BEACH
State : CA
Zip : 90806-1637
Country : US
Telephone Number : 562-728-5034
Fax Number : 562-490-9413
Provider Business Practice Location Address
First Line : 2651 ELM AVE
Second Line : SUITE 205
City : LONG BEACH
State : CA
Zip : 90806-1637
Country : US
Telephone Number : 562-728-5034
Fax Number : 562-490-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2007
Last Update Date : 02/16/2017

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