| Acacia Psychological Corporation | |
|
740 Front St Ste 220 Santa Cruz CA 95060-4536 | |
| (888) 699-4873 | |
| (805) 472-6099 |
| Full Name | Acacia Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 740 Front St Ste 220, Santa Cruz, California |
| Authorized Official Name and Position | Jess Rodriguez (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 8054726099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Psychological Corporation 281 Magnolia Ave Ste 300 Goleta CA 93117-3608 Ph: (805) 472-6099 | Acacia Psychological Corporation 740 Front St Ste 220 Santa Cruz CA 95060-4536 Ph: (888) 699-4873 |
| NPI Number | 1962061739 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962061739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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