| Alpha Behavioral Health Services | |
|
4069 30th St San Diego CA 92104-2601 | |
| (619) 285-9999 | |
| (619) 285-1938 |
| Full Name | Alpha Behavioral Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 4069 30th St, San Diego, California |
| Authorized Official Name and Position | Scott A. Suckow (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6192859999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Behavioral Health Services 4069 30th St San Diego CA 92104-2601 Ph: (619) 285-9999 | Alpha Behavioral Health Services 4069 30th St San Diego CA 92104-2601 Ph: (619) 285-9999 |
| NPI Number | 1417998378 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417998378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 15358 (California) | Primary |
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