| Abbeyfield Psychotherapy Inc | |
|
5479 E Abbeyfield St Suite 3 Long Beach CA 90815-3050 | |
| (562) 498-5900 | |
| (562) 498-5909 |
| Full Name | Abbeyfield Psychotherapy Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5479 E Abbeyfield St, Long Beach, California |
| Authorized Official Name and Position | Tamera Benedict (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5624985900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abbeyfield Psychotherapy Inc 5479 E Abbeyfield St Suite 3 Long Beach CA 90815-3050 Ph: (562) 498-5900 | Abbeyfield Psychotherapy Inc 5479 E Abbeyfield St Suite 3 Long Beach CA 90815-3050 Ph: (562) 498-5900 |
| NPI Number | 1356613210 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 06/06/2014 |
| Medicare PECOS PAC ID | 6406079748 |
|---|---|
| Medicare Enrollment ID | O20140514001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356613210 | NPI | - | NPPES |
| Provider Name | Tamineca Lollis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174655724 PECOS PAC ID: 9234453838 Enrollment ID: I20150129001941 |
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