| Andrea Jablonski Psyd A Professional Psychology Corporation | |
|
2601 Airport Drive Ste. 135 Torrance CA 90505 | |
| (424) 999-5646 | |
| Not Available |
| Full Name | Andrea Jablonski Psyd A Professional Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 2601 Airport Drive, Torrance, California |
| Authorized Official Name and Position | Andrea Jablonski (PRESIDENT) |
| Authorized Official Contact | 4249995646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Jablonski Psyd A Professional Psychology Corporation 2711 N Sepulveda Blvd # 752 Manhattan Beach CA 90266-2725 Ph: (424) 999-5646 | Andrea Jablonski Psyd A Professional Psychology Corporation 2601 Airport Drive Ste. 135 Torrance CA 90505 Ph: (424) 999-5646 |
| NPI Number | 1598546830 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 2466802012 |
|---|---|
| Medicare Enrollment ID | O20231222002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598546830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea M Jablonski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275909731 PECOS PAC ID: 1052653268 Enrollment ID: I20190508000855 |
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