| |
3 Governors Ln Suite D Chico CA 95926-5503 | |
(530) 838-4188 | |
(530) 838-4394 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3 Governors Ln, Chico, California |
Authorized Official Name and Position | Mark D. Levine (PRESIDENT) |
Authorized Official Contact | 9165767898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2081 Arena Blvd Suite 160 Sacramento CA 95834-2309 Ph: (916) 576-7898 | 3 Governors Ln Suite D Chico CA 95926-5503 Ph: (530) 838-4188 |
NPI Number | 1629302500 |
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Provider Enumeration Date | 09/25/2009 |
Last Update Date | 04/01/2011 |
Identifier | Type | State | Issuer |
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1629302500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (California) | Primary |
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