Mr Chad Walter Petties Sr, is a
Marriage & Family Therapist based in Mira Loma, California. Mr Chad Walter Petties Sr is licensed to practice in California (license number 92433) and his current practice location is
10551 Bellegrave Ave, Mira Loma, California. He can be reached at his office (for appointments etc.) via phone at
(951) 488-2938.
NPI number for Mr Chad Walter Petties Sr is 1528398971 and his current mailing address is 3939 Thirtenth Street, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528398971.
Healthcare Provider's Profile
Full Name | Mr Chad Walter Petties Sr |
---|
Gender | Male |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 10551 Bellegrave Ave, Mira Loma, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528398971
- Provider Enumeration Date: 01/07/2010
- Last Update Date: 09/12/2024
Medical Identifiers
Medical identifiers for Mr Chad Walter Petties Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528398971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 92433 (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. Mr Chad Walter Petties Sr 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 |
Mr Chad Walter Petties Sr, 3939 Thirtenth Street, Riverside, CA 92507-4944 Ph: (951) 488-2938 | Mr Chad Walter Petties Sr, 10551 Bellegrave Ave, Mira Loma, CA 91752-1800 Ph: (951) 488-2938 |
Reviews and Comments