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3400 Cottage Way Ste G2 #21123 Sacramento CA 95825 | |
| (530) 227-2883 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 3400 Cottage Way, Sacramento, California |
| Authorized Official Name and Position | Kevin Van Laeken (OWNER) |
| Authorized Official Contact | 5302272883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5201 Great America Parkway Suite 320 #273 Santa Clara CA 95054 Ph: (530) 227-2883 | 3400 Cottage Way Ste G2 #21123 Sacramento CA 95825 Ph: (530) 227-2883 |
| NPI Number | 1144924432 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144924432 | NPI | - | NPPES |
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