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721 Nevada St Ste 203 Redlands CA 92373-8051 | |
| (909) 798-5669 | |
| (909) 335-9219 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 721 Nevada St Ste 203, Redlands, California |
| Authorized Official Name and Position | Edward B Pflaumer (OWNER) |
| Authorized Official Contact | 9098996800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Post Office Box 950 Rancho Cucamonga CA 91729 Ph: (909) 899-6800 | 721 Nevada St Ste 203 Redlands CA 92373-8051 Ph: (909) 798-5669 |
| NPI Number | 1275669475 |
|---|---|
| Provider Enumeration Date | 02/24/2007 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275669475 | NPI | - | NPPES |
| GPS001160 | Medicaid | CA | |
| PSY10385 | Other | CA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY10385 (California) | Primary |
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