| Burgos Psychological Services | |
|
16425 El Revino Dr Fontana CA 92336-5843 | |
| (909) 451-9904 | |
| (909) 310-9763 |
| Full Name | Burgos Psychological Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16425 El Revino Dr, Fontana, California |
| Authorized Official Name and Position | Yvonne Burgos (OWNER) |
| Authorized Official Contact | 9094519904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgos Psychological Services Po Box 1025 Ontario CA 91762-0025 Ph: (909) 451-9904 | Burgos Psychological Services 16425 El Revino Dr Fontana CA 92336-5843 Ph: (909) 451-9904 |
| NPI Number | 1417795782 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417795782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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