| Detwiler Psychology Apc | |
|
471 E Tahquitz Canyon Way 219 Palm Springs CA 92262-6620 | |
| (619) 636-9444 | |
| Not Available |
| Full Name | Detwiler Psychology Apc |
|---|---|
| Speciality | Psychologist |
| Location | 471 E Tahquitz Canyon Way, Palm Springs, California |
| Authorized Official Name and Position | Wesley William Detwiler (PSYCHOLOGIST) |
| Authorized Official Contact | 6196369444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detwiler Psychology Apc 471 E Tahquitz Canyon Way 219 Palm Springs CA 92262-6620 Ph: (619) 636-9444 | Detwiler Psychology Apc 471 E Tahquitz Canyon Way 219 Palm Springs CA 92262-6620 Ph: (619) 636-9444 |
| NPI Number | 1912449430 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Medicare PECOS PAC ID | 0749609535 |
|---|---|
| Medicare Enrollment ID | O20200928002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912449430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY28289 (California) | Primary |
| Provider Name | Wesley William Detwiler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275686537 PECOS PAC ID: 2961838792 Enrollment ID: I20200214000064 |
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