Provider Demographics
NPI:1932607785
Name:TUMPERI PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:TUMPERI PSYCHOLOGICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORK
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:562-304-5781
Mailing Address - Street 1:3840 WOODRUFF AVENUE SUITE 108
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2148
Mailing Address - Country:US
Mailing Address - Phone:562-304-5781
Mailing Address - Fax:562-452-7477
Practice Address - Street 1:3840 WOODRUFF AVENUE SUITE 108
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2148
Practice Address - Country:US
Practice Address - Phone:562-304-5781
Practice Address - Fax:562-452-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA262571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty