DR. M. Therese Mascardo, PSYD

NPI #1003171893 in Fullerton, California

Provider Information

NPI Number: 1003171893
Entity Type: Individual
Name: DR. M. Therese Mascardo, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 1619 E CHAPMAN AVE
City: Fullerton
State: California
ZIP Code: 92831-4015
Phone: (949) 682-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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