| Changing Directions Psychological Corporation | |
|
17280 Newhope Street Suite 4 Fountain Valley CA 92708 | |
| (714) 434-3980 | |
| (714) 434-3981 |
| Full Name | Changing Directions Psychological Corporation |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 17280 Newhope Street, Fountain Valley, California |
| Authorized Official Name and Position | Paula Abigail Inge-linchim (CFO) |
| Authorized Official Contact | 7144343980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Directions Psychological Corporation 17280 Newhope Street Suite 4 Fountain Valley CA 92708 Ph: (714) 434-3980 | Changing Directions Psychological Corporation 17280 Newhope Street Suite 4 Fountain Valley CA 92708 Ph: (714) 434-3980 |
| NPI Number | 1932716222 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932716222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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