| Carolina Bacchi Psychotherapy And Psychoanalysis, Llc | |
|
5665 College Ave Ste 340c Oakland CA 94618-1658 | |
| (510) 594-4314 | |
| (510) 356-2929 |
| Full Name | Carolina Bacchi Psychotherapy And Psychoanalysis, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5665 College Ave Ste 340c, Oakland, California |
| Authorized Official Name and Position | Carolina Bacchi (OWNER) |
| Authorized Official Contact | 5105944314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Bacchi Psychotherapy And Psychoanalysis, Llc 23 Wellfleet Bay Alameda CA 94502-6459 Ph: (510) 219-0391 | Carolina Bacchi Psychotherapy And Psychoanalysis, Llc 5665 College Ave Ste 340c Oakland CA 94618-1658 Ph: (510) 594-4314 |
| NPI Number | 1932727906 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Medicare PECOS PAC ID | 6901221332 |
|---|---|
| Medicare Enrollment ID | O20200803001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932727906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolina Bacchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932490752 PECOS PAC ID: 7719302140 Enrollment ID: I20200803001372 |
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