| Collective Centre Of Psychology, Inc. | |
|
27201 Puerta Real Ste 300 Mission Viejo CA 92691-8590 | |
| (949) 354-4147 | |
| Not Available |
| Full Name | Collective Centre Of Psychology, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 27201 Puerta Real Ste 300, Mission Viejo, California |
| Authorized Official Name and Position | Deke Marcus (PRESIDENT) |
| Authorized Official Contact | 9493544147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Centre Of Psychology, Inc. 23986 Aliso Creek Rd Ste 325 Laguna Niguel CA 92677-3908 Ph: () - | Collective Centre Of Psychology, Inc. 27201 Puerta Real Ste 300 Mission Viejo CA 92691-8590 Ph: (949) 354-4147 |
| NPI Number | 1437664539 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Medicare PECOS PAC ID | 9133487937 |
|---|---|
| Medicare Enrollment ID | O20171228001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437664539 | NPI | - | NPPES |
| Provider Name | Deke Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346787389 PECOS PAC ID: 0042578841 Enrollment ID: I20171228001246 |
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