| |
716 E Main St Ste B Turlock CA 95380-4555 | |
(209) 591-3680 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 716 E Main St Ste B, Turlock, California |
Authorized Official Name and Position | Camille L. Holmes (PSYCHOLOGIST) |
Authorized Official Contact | 2095913680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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716 E Main St Ste B Turlock CA 95380-4555 Ph: (209) 591-3680 | 716 E Main St Ste B Turlock CA 95380-4555 Ph: (209) 591-3680 |
NPI Number | 1083986269 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
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1083986269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | PSY13644 (California) | Primary |
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