Doctor Name: | GINA ATENCIO-MACLEAN |
NPI Number: | 1194003608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 13177 Ramona Blvd Irwindale, CA - 917063855 |
Business Phone Number: | 6267445230 |
Business Fax Number: | |
Mailing Address: | 13177 Ramona Blvd, IRWINDALE |
State: | CA |
Postal Code: | 917063855 |
Phone Number: | 6267445230 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |