| Care Psychological Services, Inc. | |
|
2030 E 4th St Suite 140f Santa Ana CA 92705-3940 | |
| (714) 569-9976 | |
| (714) 569-9910 |
| Full Name | Care Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2030 E 4th St, Santa Ana, California |
| Authorized Official Name and Position | Laura Fair Brodeske (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7145699976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Psychological Services, Inc. 2030 E 4th St Suite 140f Santa Ana CA 92705-3940 Ph: (714) 569-9976 | Care Psychological Services, Inc. 2030 E 4th St Suite 140f Santa Ana CA 92705-3940 Ph: (714) 569-9976 |
| NPI Number | 1437481611 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Medicare PECOS PAC ID | 2668516576 |
|---|---|
| Medicare Enrollment ID | O20100216000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437481611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21931 (California) | Primary |
| Provider Name | Laura F Brodeske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134396070 PECOS PAC ID: 2769526664 Enrollment ID: I20100216000394 |
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