| Crossroads Psychotherapy Group | |
|
4281 Katella Ave Suite 122 Los Alamitos CA 90720-3500 | |
| (714) 229-9900 | |
| (714) 229-9959 |
| Full Name | Crossroads Psychotherapy Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4281 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Deborah Gwen Mather (PSYCHOLOGIST) |
| Authorized Official Contact | 7142299900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Psychotherapy Group 4281 Katella Ave Suite 122 Los Alamitos CA 90720-3500 Ph: (714) 229-9900 | Crossroads Psychotherapy Group 4281 Katella Ave Suite 122 Los Alamitos CA 90720-3500 Ph: (714) 229-9900 |
| NPI Number | 1962563775 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962563775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17113 (California) | Primary |
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