| Diet Free Solution A Psychological Corp | |
|
2220 5th Ave San Diego CA 92101-2104 | |
| (619) 230-1880 | |
| (619) 230-1066 |
| Full Name | Diet Free Solution A Psychological Corp |
|---|---|
| Speciality | Psychologist |
| Location | 2220 5th Ave, San Diego, California |
| Authorized Official Name and Position | Janet Deidre Price (PRESIDENT) |
| Authorized Official Contact | 6192301880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diet Free Solution A Psychological Corp 2220 5th Ave San Diego CA 92101-2104 Ph: (619) 230-1880 | Diet Free Solution A Psychological Corp 2220 5th Ave San Diego CA 92101-2104 Ph: (619) 230-1880 |
| NPI Number | 1932844594 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 6204214703 |
|---|---|
| Medicare Enrollment ID | O20220610001729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932844594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janet D Price |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134215890 PECOS PAC ID: 7810375318 Enrollment ID: I20220615002800 |
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