Kellie Marie Jarvie, | |
160 E Holt Ave, Pomona, CA 91767-5406 | |
(909) 620-2521 | |
(909) 620-9793 |
Full Name | Kellie Marie Jarvie |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 160 E Holt Ave, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578877338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 80085 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
---|---|
Kellie Marie Jarvie, 7216 Garnet St, Rancho Cucamonga, CA 91701-5612 Ph: (626) 622-0053 | Kellie Marie Jarvie, 160 E Holt Ave, Pomona, CA 91767-5406 Ph: (909) 620-2521 |
Ms. Loyce Ann Hampson, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 790 E Bonita Ave, Pomona, CA 91767 Phone: 714-470-1457 | |
Kwonta Phatiphong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 | |
Yvette Barriga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 180, Pomona, CA 91767 Phone: 909-766-7340 Fax: 909-865-0730 | |
Mr. Luis Felipe Resendez Jr., M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91764 Phone: 909-766-7302 | |
Nana Bamfo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 | |
Sitlally Garcia, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 Corporate Center Dr Ste 202, Pomona, CA 91768 Phone: 626-658-1843 | |
Sarah P Liu, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 E Holt Ave Ste F, Pomona, CA 91767 Phone: 626-257-1479 |