Teddy R Pascual
Psychologist in Greendale, CA. Individual provider (NPI-1).
NPI number1194459529
StatusActive
Last updated in NPPESJul 12, 2022
Details
- NPI
- 1194459529
- Entity type
- Individual (NPI-1)
- Name
- Teddy R Pascual
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2022
- Certification date
- Jun 22, 2022
- Last updated
- Jul 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 12345689-1234 | UT | Yes |
Practice location
330n Brand BlvdGreendale, CA 90039
Phone 213-433-4432
Mailing address
330n Brand BlvdGreendale, CA 90039
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