Cep America - Psychiatry Pc | |
1700 Coffee Rd Modesto CA 95355-2803 | |
(209) 526-4500 | |
Not Available |
Full Name | Cep America - Psychiatry Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1700 Coffee Rd, Modesto, California |
Authorized Official Name and Position | David Birdsall (VICE PRESIDENT AND SECRETARY) |
Authorized Official Contact | 5103502600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cep America - Psychiatry Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 851-7501 | Cep America - Psychiatry Pc 1700 Coffee Rd Modesto CA 95355-2803 Ph: (209) 526-4500 |
NPI Number | 1396507547 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 01/24/2024 |
Certification Date | 01/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396507547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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