| Courage To Grow Psychological Services Inc | |
|
7921 Kingswood Dr Ste A5b Citrus Heights CA 95610-7710 | |
| (350) 204-3065 | |
| Not Available |
| Full Name | Courage To Grow Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7921 Kingswood Dr Ste A5b, Citrus Heights, California |
| Authorized Official Name and Position | Deanne Welch (PSYD, OWNER) |
| Authorized Official Contact | 3502043065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Grow Psychological Services Inc 6333 Pacific Ave # 167 Stockton CA 95207-3713 Ph: (350) 204-3065 | Courage To Grow Psychological Services Inc 7921 Kingswood Dr Ste A5b Citrus Heights CA 95610-7710 Ph: (350) 204-3065 |
| NPI Number | 1790554574 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 4587000823 |
|---|---|
| Medicare Enrollment ID | O20240309000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790554574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deanne Nicole Welch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588954424 PECOS PAC ID: 5698154185 Enrollment ID: I20220613002329 |
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