Grace Mae Irvine, MFT INTERN #IMF76936 | |
5030 El Camino Ave, Carmichael, CA 95608-4650 | |
(916) 949-8107 | |
Not Available |
Full Name | Grace Mae Irvine |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 5030 El Camino Ave, Carmichael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992041081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF76936 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Grace Mae Irvine, MFT INTERN #IMF76936 5030 El Camino Ave, Carmichael, CA 95608-4650 Ph: (916) 949-8107 | Grace Mae Irvine, MFT INTERN #IMF76936 5030 El Camino Ave, Carmichael, CA 95608-4650 Ph: (916) 949-8107 |
Mr. Brian Sanchez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6147 Sutter Ave, Carmichael, CA 95608 Phone: 916-971-7640 | |
Marilee Sullivan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6147 Sutter Ave, Carmichael, CA 95608 Phone: 916-971-7640 Fax: 916-971-5711 | |
Lorain Arlene Tremayne, MFT-INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5030 El Camino Ave, Carmichael, CA 95608 Phone: 916-609-5100 | |
Mrs. Patricia E. Lanting, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6147 Sutter Ave, Carmichael, CA 95608 Phone: 916-971-7640 | |
Miss Theresa Ann Thoits, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6147 Sutter Ave, Carmichael, CA 95608 Phone: 916-971-7640 | |
Ms. Heather Lynn Splain, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6147 Sutter Ave, Carmichael, CA 95608 Phone: 916-971-5360 | |
Chyrissee K. Lee, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 Fair Oaks Blvd, #101-244, Carmichael, CA 95608 Phone: 916-437-4600 Fax: 916-437-4600 |