Most Relevant Information
Provider Data
| NPI Number: | 1003181967 |
| Provider Name: | DAURA M DE ASSIS PSY |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY15114 |
Most Important Dates
| Enumeration Date: | 03/12/2012 |
| Last Updated: | 03/12/2012 |
Provider Practice Location
436 PALM DR
# 6
GLENDALE
CA
912023215
Practice Location Phone/Fax
| Phone: | 3106006583 |
| Fax: |
Provider Mailing Location
436 PALM DR
# 6
GLENDALE
CA
912023215
Provider Mailing Phone/Fax
| Phone: | 3106006583 |
| Fax: |