Psychological Enrichment Center
NPI #1942409255 in Costa Mesa, California
Provider Information
- NPI Number
- 1942409255
- Entity Type
- Organization
- Organization Name
- Psychological Enrichment Center
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 2900 BRISTOL ST
- Address 2
- SUITE A108
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92626-5981
- Phone
- (714) 432-0042
Authorized Official
- Name
- DR. PAUL SULLIVAN, PSY.D.
- Title
- PRESIDENT/PSYCHOLOGIST
- Phone
- (714) 432-0042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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