Counselaid Psychological Corporation | |
6476 Adobe Road Twentynine Palms CA 92277 | |
(760) 367-6198 | |
(760) 367-0418 |
Full Name | Counselaid Psychological Corporation |
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Speciality | Psychologist - Clinical |
Location | 6476 Adobe Road, Twentynine Palms, California |
Authorized Official Name and Position | Paul F Barkman (PRESIDENT) |
Authorized Official Contact | 7603676198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Counselaid Psychological Corporation Po Box 1716 Twentynine Palms CA 92277-1000 Ph: (760) 367-6198 | Counselaid Psychological Corporation 6476 Adobe Road Twentynine Palms CA 92277 Ph: (760) 367-6198 |
NPI Number | 1063595262 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1063595262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY2912 (California) | Primary |
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