| A.c.c.e.s.s | |
|
27268 Via Industria Temecula CA 92590-3751 | |
| (951) 265-6504 | |
| Not Available |
| Full Name | A.c.c.e.s.s |
|---|---|
| Speciality | Psychologist |
| Location | 27268 Via Industria, Temecula, California |
| Authorized Official Name and Position | Michael Kitlowski (CO OWNER) |
| Authorized Official Contact | 9512656504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.c.c.e.s.s 27268 Via Industria Temecula CA 92590-3751 Ph: (951) 265-6504 | A.c.c.e.s.s 27268 Via Industria Temecula CA 92590-3751 Ph: (951) 265-6504 |
| NPI Number | 1225399231 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225399231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6512 (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY14458 (California) | Primary |
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