Dr. George Valera Estonactoc, Ph.D.
Psychologist, Clinical in Laguna Niguel, CA. Individual provider (NPI-1).
NPI number1306263785
StatusActive
Last updated in NPPESMar 24, 2014
Details
- NPI
- 1306263785
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Valera Estonactoc
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2014
- Last updated
- Mar 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 25631 | CA | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 25631 | CA | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 25631 | CA | |
| 103TF0000X | Psychologist, Family | 25631 | CA |
Other names
- Cy Valera Estonactoc (Other Name)
Practice location
28292 El SurLaguna Niguel, CA 92677-4422
Phone 949-412-7178
Mailing address
28292 El SurLaguna Niguel, CA 92677-4422
Phone 949-412-7178
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