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A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Health |
103TH0004X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI Number | 1851167506 |
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| LBN Legal business name | EMBODIED SELF PSYCHOLOGY, INC. | ||||
| Authorized official | BRENDA GOMEZ - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/04/2023 | ||||
| Last updated | 12/04/2023 - About 3 years ago | ||||
| Identifiers |
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| CARA MCEACHIN, LEP 41856 IVY STREET MURRIETA, CA |
| SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC 28125 BRADLEY RD STE 220 SUN CITY, CA |
| BENJAMIN CORNELL 31946 MISSION TRAIL LAKE ELSINORE, CA |
| MARK JESINOSKI, PHD., LLC 205 N MAIN AVE FALLBROOK, CA |
| KEI S TIGGS, PHD 650 N STATE ST HEMET, CA |
| STEPHANIE B MORENO 16733 WAR CLOUD DR MORENO VALLEY, CA |
| LORRAINE L SNOW, PhD 26520 CACTUS AVENUE MORENO VALLEY, CA |
| CATHERINE MARTINEZ VAZQUEZ 14185 AUSTENE CIRCLE MORENO VALLEY, CA |
| ANTONIO PEARCE, MS 12968 FREDERICK STREET MORENO VALLEY, CA |
| REGINA M MCCLURE 1204 LITTLE GOPHER CANYON ROAD VISTA, CA |
EMBODIED SELF PSYCHOLOGY, INC.