Myranda Flordelis, MA
Student in an Organized Health Care Education/Training Program in Orange, CA. Individual provider (NPI-1).
NPI number1164031068
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1164031068
- Entity type
- Individual (NPI-1)
- Name
- Myranda Flordelis
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 103T00000X | Psychologist | – | CA |
Practice location
1201 W La Veta AveOrange, CA 92868-4203
Phone 714-509-8481
Mailing address
1201 W La Veta AveOrange, CA 92868-4203
Phone 147-509-8481
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