| Coastal Center For Anxiety Treatment | |
|
1194 Pacific St Ste 101 Suite B-2 San Luis Obispo CA 93401-3338 | |
| (805) 473-3388 | |
| (805) 548-0815 |
| Full Name | Coastal Center For Anxiety Treatment |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1194 Pacific St Ste 101, San Luis Obispo, California |
| Authorized Official Name and Position | Eric D Goodman (DIRECTOR) |
| Authorized Official Contact | 8054733388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Center For Anxiety Treatment 1194 Pacific St Ste 101 Suite B-2 San Luis Obispo CA 93401-3338 Ph: (805) 473-3388 | Coastal Center For Anxiety Treatment 1194 Pacific St Ste 101 Suite B-2 San Luis Obispo CA 93401-3338 Ph: (805) 473-3388 |
| NPI Number | 1306998786 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306998786 | NPI | - | NPPES |
| PSY20248 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY20248 (California) | Primary |
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