| Christine A Baser R N Ph D A Professional Psychology Corp | |
|
2011 Palomar Airport Rd Suite 205 Carlsbad CA 92011-1430 | |
| (760) 431-2694 | |
| (760) 431-2695 |
| Full Name | Christine A Baser R N Ph D A Professional Psychology Corp |
|---|---|
| Speciality | Psychologist |
| Location | 2011 Palomar Airport Rd, Carlsbad, California |
| Authorized Official Name and Position | Christine A Baser (OWNER) |
| Authorized Official Contact | 7604312695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine A Baser R N Ph D A Professional Psychology Corp 7207 Wisteria Way Carlsbad CA 92011-4844 Ph: (760) 431-2695 | Christine A Baser R N Ph D A Professional Psychology Corp 2011 Palomar Airport Rd Suite 205 Carlsbad CA 92011-1430 Ph: (760) 431-2694 |
| NPI Number | 1851638506 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 02/19/2018 |
| Medicare PECOS PAC ID | 0345493524 |
|---|---|
| Medicare Enrollment ID | O20130122000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851638506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY9695 (California) | Primary |
| Provider Name | Christine Baser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285623546 PECOS PAC ID: 9234120247 Enrollment ID: I20040519000977 |
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