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2324 Santa Rita Rd Suite #10 Pleasanton CA 94566-4152 | |
| (925) 462-6441 | |
| (925) 426-6851 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2324 Santa Rita Rd, Pleasanton, California |
| Authorized Official Name and Position | E. Allen Schlies (CEO) |
| Authorized Official Contact | 9254626441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2324 Santa Rita Rd Suite #10 Pleasanton CA 94566-4152 Ph: (925) 462-6441 | 2324 Santa Rita Rd Suite #10 Pleasanton CA 94566-4152 Ph: (925) 462-6441 |
| NPI Number | 1871793034 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 1456415421 |
|---|---|
| Medicare Enrollment ID | O20090206000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871793034 | NPI | - | NPPES |
| Provider Name | Edward Schlies |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891814539 PECOS PAC ID: 4688661655 Enrollment ID: I20040514000773 |
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