Doctor Name: | DR. DESIREE DELAGARZA |
NPI Number: | 1003075235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOCTORATE |
License Number: | PSY19575 |
Business Practice Address: | 24242 La Cresta Dr # 116 Dana Point, CA - 926292561 |
Business Phone Number: | 9493709442 |
Business Fax Number: | 9492482230 |
Mailing Address: | 24242 La Cresta #116, DANA POINT |
State: | CA |
Postal Code: | 92629 |
Phone Number: | 9493709442 |
Fax Number: | 9492482230 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PSY19575 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |