Developmental Guidance Services Inc. | |
16560 Harbor Blvd Suite A Fountain Valley CA 92708-1336 | |
(714) 437-7400 | |
(714) 437-7410 |
Full Name | Developmental Guidance Services Inc. |
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Speciality | Psychologist |
Location | 16560 Harbor Blvd, Fountain Valley, California |
Authorized Official Name and Position | Philip F Newberg (PRESIDENT) |
Authorized Official Contact | 5625379268 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Developmental Guidance Services Inc. 17150 Newhope St Suite 507 Fountain Valley CA 92708-4250 Ph: (714) 437-7400 | Developmental Guidance Services Inc. 16560 Harbor Blvd Suite A Fountain Valley CA 92708-1336 Ph: (714) 437-7400 |
NPI Number | 1497981054 |
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Provider Enumeration Date | 06/09/2009 |
Last Update Date | 06/04/2015 |
Medicare PECOS PAC ID | 0648309476 |
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Medicare Enrollment ID | O20100603000417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497981054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY4593 (California) | Primary |
Provider Name | Philip F Newberg |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457412579 PECOS PAC ID: 8729114764 Enrollment ID: I20100330000491 |
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