| Carla Payne, Psychology, Inc. | |
|
2525 Camino Del Rio S. #245 San Diego CA 92108 | |
| (858) 922-3803 | |
| (951) 658-5857 |
| Full Name | Carla Payne, Psychology, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2525 Camino Del Rio S. #245, San Diego, California |
| Authorized Official Name and Position | Linda Carol Lindley (BILLING DEPT) |
| Authorized Official Contact | 9516520308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Payne, Psychology, Inc. P.o. Box 7107 Broadway Pmb 335 Lemon Grove CA 91945 Ph: (858) 922-3803 | Carla Payne, Psychology, Inc. 2525 Camino Del Rio S. #245 San Diego CA 92108 Ph: (858) 922-3803 |
| NPI Number | 1841779154 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 5193076693 |
|---|---|
| Medicare Enrollment ID | O20180921002805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841779154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY24538 (California) | Primary |
| Provider Name | Carla M Payne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730359159 PECOS PAC ID: 1658532528 Enrollment ID: I20120420000047 |
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