Culver City Psychological Associates, Inc. | |
5000 Overland Ave 8 Culver City CA 90230-4995 | |
(310) 838-2738 | |
(310) 838-2729 |
Full Name | Culver City Psychological Associates, Inc. |
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Speciality | Psychologist |
Location | 5000 Overland Ave, Culver City, California |
Authorized Official Name and Position | Valerie Witherspoon (PRESIDENT) |
Authorized Official Contact | 3108382738 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Culver City Psychological Associates, Inc. Po Box 2900 Culver City CA 90231-2900 Ph: (310) 838-2738 | Culver City Psychological Associates, Inc. 5000 Overland Ave 8 Culver City CA 90230-4995 Ph: (310) 838-2738 |
NPI Number | 1689684607 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3779590385 |
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Medicare Enrollment ID | O20060307000419 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689684607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY13838 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY15514 (California) | Primary |
Provider Name | Margaret N Woodward |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598865412 PECOS PAC ID: 9335171909 Enrollment ID: I20050902000490 |
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