Dr. Gautami Polepally Ashok
Psychologist, Clinical in Orange, CA. Individual provider (NPI-1).
NPI number1982203568
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1982203568
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gautami Polepally Ashok
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2020
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY31767 | CA | Yes |
Practice location
1234 W Chapman Ave Ste 203Orange, CA 92868-2863
Phone 714-488-4594
Mailing address
1234 W Chapman Ave Ste 203Orange, CA 92868-2863
Phone 714-488-4594
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