Provider Demographics
NPI:1861682569
Name:PAL, IOANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:IOANA
Middle Name:
Last Name:PAL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 ELM AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1637
Mailing Address - Country:US
Mailing Address - Phone:562-728-5034
Mailing Address - Fax:562-490-9413
Practice Address - Street 1:2651 ELM AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1637
Practice Address - Country:US
Practice Address - Phone:562-728-5034
Practice Address - Fax:562-490-9413
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28368103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical