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DR. MICHAEL D EVANS-ZEPEDA PSY.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1477191716
Individual Registrant:DR. MICHAEL D EVANS-ZEPEDA PSY.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
13200 CROSSROADS PKWY N STE 350 CITY OF INDUSTRY, CA 91746-3496 US
Tel: 562-821-1491 Fax: --
Tel: 562-821-1491 Fax: --
Contact information for business:
400 N MICHAEL AVE FULLERTON, CA 92833-2411 US
Tel: 310-428-3705 Fax: --
Tel: 310-428-3705 Fax: --
Registration Information:
NPI: 1477191716
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | PSB94024891 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
