Steve Wysocki, Ph.d., Pc Dba Alta Loma Psychological Assoc
Specialty details in registry · Rancho Cucamonga, CA
At a glance
9089 Baseline Rd., Rancho Cucamonga, CA 91730-1295
NPPES record updated Mar 4, 2009. Public records can lag behind changes at a practice.
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Practice location
9089 Baseline Rd. #200Rancho Cucamonga, CA 91730-1295
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103TC0700X
- Enumeration date
- Mar 15, 2007
- Record updated
- Mar 4, 2009
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
103TC0700X · Primary
License reported: PSY 6143 CA
1041C0700X
License reported: LCS 16794 CA
106H00000X
License reported: MFC 28102 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
9089 Baseline Rd.#200
Rancho Cucamonga, CA 91730-1295
- Phone
- (909) 980-3567
- Fax
- (909) 989-3932
Mailing address
9089 BASELINE RD.#200
RANCHO CUCAMONGA, CA 917301295
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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