Annelie S Purdy Phd | |
433 So Lincoln Street Annelie S Purdy Phd Inc Santa Maria CA 93458 | |
(805) 349-9706 | |
(805) 349-0576 |
Full Name | Annelie S Purdy Phd |
---|---|
Speciality | Psychologist |
Location | 433 So Lincoln Street, Santa Maria, California |
Authorized Official Name and Position | Annelie S Purdy (PSYCHOLOGIST) |
Authorized Official Contact | 8053499706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Annelie S Purdy Phd 433 South Lincoln Street Santa Maria CA 93458 Ph: (805) 349-9706 | Annelie S Purdy Phd 433 So Lincoln Street Annelie S Purdy Phd Inc Santa Maria CA 93458 Ph: (805) 349-9706 |
NPI Number | 1336327071 |
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Provider Enumeration Date | 02/05/2008 |
Last Update Date | 02/05/2008 |
Medicare PECOS PAC ID | 0941385736 |
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Medicare Enrollment ID | O20080304000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336327071 | NPI | - | NPPES |
00PL54520 | Medicaid | CA | |
151010 | Other | CA | VALUE OPTION |
6128337 | Other | CA | BLUE SHIELD UBH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY5452 (California) | Primary |
Provider Name | Annelie S Purdy |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982675930 PECOS PAC ID: 7315022100 Enrollment ID: I20080304000249 |
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