| Central Coast Psychological Services Corporation | |
|
1172 E Grand Ave Arroyo Grande CA 93420-2556 | |
| (805) 235-0251 | |
| Not Available |
| Full Name | Central Coast Psychological Services Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1172 E Grand Ave, Arroyo Grande, California |
| Authorized Official Name and Position | Kristyn Collins (PSYCHOLOGIST) |
| Authorized Official Contact | 8052350251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Psychological Services Corporation Pmb 515 1375 E. Grand Ave. Suite #103 Arroyo Grande CA 93420 Ph: () - | Central Coast Psychological Services Corporation 1172 E Grand Ave Arroyo Grande CA 93420-2556 Ph: (805) 235-0251 |
| NPI Number | 1821753690 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Medicare PECOS PAC ID | 2264822808 |
|---|---|
| Medicare Enrollment ID | O20211214001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821753690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristyn Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831688795 PECOS PAC ID: 3375808132 Enrollment ID: I20180525001340 |
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