Avant Garde Psychology INC
NPI #1376141440 in Corona Del Mar, California
Provider Information
- NPI Number
- 1376141440
- Entity Type
- Organization
- Organization Name
- Avant Garde Psychology INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 2737 E COAST HWY STE F
- City
- Corona Del Mar
- State
- California
- ZIP Code
- 92625-2110
- Phone
- (949) 412-7178
Authorized Official
- Name
- DR. GEORGE VALERE ESTONACTOC, PH.D.
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (949) 412-7178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychologist - Clinical — Clinical |
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