| Brain Wave Psychological Neurotherapy Associates Inc. | |
|
850 Colorado Blvd 203 Eagle Rock CA 90041-1733 | |
| (818) 821-6012 | |
| (818) 821-6014 |
| Full Name | Brain Wave Psychological Neurotherapy Associates Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 850 Colorado Blvd 203, Eagle Rock, California |
| Authorized Official Name and Position | Daniel T. Mckinney (CEO) |
| Authorized Official Contact | 8188216012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Wave Psychological Neurotherapy Associates Inc. 850 Colorado Blvd Ste 203 Eagle Rock CA 90041-1733 Ph: (818) 821-6012 | Brain Wave Psychological Neurotherapy Associates Inc. 850 Colorado Blvd 203 Eagle Rock CA 90041-1733 Ph: (818) 821-6012 |
| NPI Number | 1871029074 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871029074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY28004 (California) | Primary |
Elevate Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Colorado Blvd, Suite 101, Eagle Rock, CA 90041 Phone: 714-745-3300 | |
Propsych Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Colorado Blvd Ste 203, Eagle Rock, CA 90041 Phone: 818-821-6012 Fax: 818-821-6014 |