| Justine Wynn Phd | |
|
530 W Ojai Ave Suite 204 Ojai CA 93023-2462 | |
| (805) 640-5148 | |
| Not Available |
| Full Name | Justine Wynn Phd |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 530 W Ojai Ave, Ojai, California |
| Authorized Official Name and Position | Justine Wynn (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8056405148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justine Wynn Phd 226 W Ojai Ave Suite 101-439 Ojai CA 93023-3277 Ph: (805) 640-5148 | Justine Wynn Phd 530 W Ojai Ave Suite 204 Ojai CA 93023-2462 Ph: (805) 640-5148 |
| NPI Number | 1336505726 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 6002241395 |
|---|---|
| Medicare Enrollment ID | O20200114002960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336505726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27876 (California) | Primary |
| Provider Name | Justine Wynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174076988 PECOS PAC ID: 9537594825 Enrollment ID: I20200114003243 |
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