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Contact Information

CAROLYN A MOTTOLA, PHD
1020 S ANAHEIM BLVD
SUITE 215
ANAHEIM, CA92708
 Phone: 714-237-4440
 Fax: 714-839-7460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROLYN A MOTTOLA · (Female)

NPI Number 1174504138
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/08/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PSY10163
  • CA Other 4124629 AETNA
  • CA Other OPL101631 BLUE SHIELD
  • CA Other 077554 MANAGED HEALTH NETWORK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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