| Chad E Kiedrowski, | |
|
10776 Fremont St, Yucaipa, CA 92399-9630 | |
| (951) 797-0114 | |
| Not Available |
| Full Name | Chad E Kiedrowski |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 10776 Fremont St, Yucaipa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457533630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT87428 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | 45168 (California) | Secondary |
| Entity Name | High Desert Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad E Kiedrowski, 10776 Fremont St, Yucaipa, CA 92399-9630 Ph: (951) 797-0114 | Chad E Kiedrowski, 10776 Fremont St, Yucaipa, CA 92399-9630 Ph: (951) 797-0114 |
Kamphoune Syphengpheth, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 951-465-3664 | |
Loleta Michelle Gustafson, LMFT, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 Phone: 909-790-3900 | |
Mrs. Traci Colleen Mohler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11921 Stovall Way, Yucaipa, CA 92399 Phone: 951-258-4357 | |
Alexey Blames, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10776 Fremont St, Yucaipa, CA 92399 Phone: 909-797-0114 | |
Dr. Margaret Nell Wild, PH.D., M.S., MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Footprints Counseling Services, 34455 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 951-367-4446 | |
Andrew Mccreary, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34453 Arbor Way, Yucaipa, CA 92399 Phone: 909-744-4878 | |
Priscilla J. Baudoin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35393 Avenue E, Yucaipa, CA 92399 Phone: 951-741-7973 |