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Roger L. Girion,ph.D., P.C,

Psychologist, Clinical in Lancaster, CA. Organization (NPI-2).

NPI number1528451663
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1528451663
Entity type
Organization (NPI-2)
Legal business name
Roger L. Girion,ph.D., P.C,
Organization subpart
No
Enumeration date
Mar 13, 2015
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY24704CAYes
1041C0700X Social Worker, ClinicalLCS19553CA
106H00000X Marriage & Family TherapistLMFT52935CA
2084N0400X Psychiatry & Neurology, Neurology––

Other names

  • Antelope Valley Mental Health Professionals (Doing Business As)

Practice location

1652 W Avenue J
Lancaster, CA 93534-2814

Phone 661-249-6720 · Fax 661-249-6859

Mailing address

1652 W Avenue J
Lancaster, CA 93534-2814

Phone 661-249-6720 · Fax 661-249-6859

Authorized official

Nicole Segroves
Office Manager
6612496720

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