Phenetre Chintanya Mcgowan, PHD is a
Psychologist based in San Luis Obispo, California. Phenetre Chintanya Mcgowan is licensed to practice in California (license number 34817) and her current practice location is
1 Colony Drive, San Luis Obispo, California. She can be reached at her office (for appointments etc.) via phone at
(805) 547-7900.
NPI number for Phenetre Chintanya Mcgowan is 1386947398 and her current mailing address is 1655 Dalidio Dr # 3006, San Luis Obispo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386947398.
Healthcare Provider's Profile
| Full Name | Phenetre Chintanya Mcgowan |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1 Colony Drive, San Luis Obispo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386947398
- Provider Enumeration Date: 12/13/2010
- Last Update Date: 03/18/2024
Medical Identifiers
Medical identifiers for Phenetre Chintanya Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386947398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 101MY0800X (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 34817 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phenetre Chintanya Mcgowan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phenetre Chintanya Mcgowan, PHD
1655 Dalidio Dr # 3006,
San Luis Obispo, CA 93401-1000
Ph: (858) 360-0596 | Phenetre Chintanya Mcgowan, PHD
1 Colony Drive,
San Luis Obispo, CA 93409-8371
Ph: (805) 547-7900 |
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