Atomic Shrink Psychology, Inc | |
40585 Big Bear Blvd Suite 2 Big Bear Lake CA 92315 | |
(909) 255-5351 | |
(800) 976-0803 |
Full Name | Atomic Shrink Psychology, Inc |
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Speciality | Psychologist - Clinical |
Location | 40585 Big Bear Blvd, Big Bear Lake, California |
Authorized Official Name and Position | Patricia Keiko Masuda-story (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8184816581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atomic Shrink Psychology, Inc 17328 Ventura Blvd Suite 134 Encino CA 91316-3904 Ph: (818) 481-6581 | Atomic Shrink Psychology, Inc 40585 Big Bear Blvd Suite 2 Big Bear Lake CA 92315 Ph: (909) 255-5351 |
NPI Number | 1770922817 |
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Provider Enumeration Date | 06/21/2013 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
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1770922817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY20385 (California) | Primary |
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