Cardinal Psychology Inc | |
65 N Madison Ave Ste 707 Pasadena CA 91101-2046 | |
(626) 765-7556 | |
Not Available |
Full Name | Cardinal Psychology Inc |
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Speciality | Psychologist |
Location | 65 N Madison Ave Ste 707, Pasadena, California |
Authorized Official Name and Position | Caitlin Elise La Brie (CEO) |
Authorized Official Contact | 6267657556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardinal Psychology Inc 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: (626) 765-7556 | Cardinal Psychology Inc 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: (626) 765-7556 |
NPI Number | 1699423947 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 03/15/2022 |
Certification Date | 03/15/2022 |
Medicare PECOS PAC ID | 8426445776 |
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Medicare Enrollment ID | O20220505000406 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699423947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Caitlin La Brie |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548643992 PECOS PAC ID: 1355752494 Enrollment ID: I20201123000645 |
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