City Of The Heart Psychological Service, A Professional Corporation | |
623 E Latham Ave Hemet CA 92543-4342 | |
(951) 928-6326 | |
(951) 344-8353 |
Full Name | City Of The Heart Psychological Service, A Professional Corporation |
---|---|
Speciality | Psychologist - Clinical |
Location | 623 E Latham Ave, Hemet, California |
Authorized Official Name and Position | Wolfgang Angelus Klebel (CEO) |
Authorized Official Contact | 9519286326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
City Of The Heart Psychological Service, A Professional Corporation 41580 Avenida Barca Temecula CA 92591-1561 Ph: (951) 623-9358 | City Of The Heart Psychological Service, A Professional Corporation 623 E Latham Ave Hemet CA 92543-4342 Ph: (951) 928-6326 |
NPI Number | 1407369317 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 04/25/2023 |
Certification Date | 04/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407369317 | NPI | - | NPPES |
33-BEHS | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY6005 (California) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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