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NPI Code Detail

MEDICARE: CURTS C. ROUANZOIN PH.D. & ASSOCIATES, INC A PSYCHOLOGICAL CORPORATION

MEDICARE: CURTS C. ROUANZOIN PH.D. & ASSOCIATES, INC A PSYCHOLOGICAL CORPORATION
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
1103T00000XPsychologistPSY16658CA

General Provider Information

NPI Number : 1972526382
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURTS C. ROUANZOIN PH.D. & ASSOCIATES, INC A PSYCHOLOGICAL CORPORATION
Provider Business Mailing Address
First Line : 101 S KRAEMER BLVD
Second Line : SUITE110
City : PLACENTIA
State : CA
Zip : 92870-6105
Country : US
Telephone Number : 714-577-0400
Fax Number : 714-577-0408
Provider Business Practice Location Address
First Line : 101 S KRAEMER BLVD
Second Line : SUITE110
City : PLACENTIA
State : CA
Zip : 92870-6105
Country : US
Telephone Number : 714-577-0400
Fax Number : 714-577-0408
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. LISA L RIGGS
Credential : PSY.D
Telephone Number : 714-577-0400
Provider Enumeration Date : 07/26/2006
Last Update Date : 08/22/2020

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