Dr Elizabeth Shon, Psychological Services Inc. | |
745 S Marengo Ave Suite 105 Pasadena CA 91106-4735 | |
(626) 793-0858 | |
(323) 256-8203 |
Full Name | Dr Elizabeth Shon, Psychological Services Inc. |
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Speciality | Psychologist |
Location | 745 S Marengo Ave, Pasadena, California |
Authorized Official Name and Position | Elizabeth K Shon (PSYCHOLOGIST) |
Authorized Official Contact | 6267930858 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Elizabeth Shon, Psychological Services Inc. 745 S Marengo Ave Suite 105 Pasadena CA 91106-4735 Ph: (626) 793-0858 | Dr Elizabeth Shon, Psychological Services Inc. 745 S Marengo Ave Suite 105 Pasadena CA 91106-4735 Ph: (626) 793-0858 |
NPI Number | 1154647345 |
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Provider Enumeration Date | 04/13/2010 |
Last Update Date | 04/13/2010 |
Medicare PECOS PAC ID | 2961533096 |
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Medicare Enrollment ID | O20100706000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154647345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY11520 (California) | Primary |
Provider Name | Elizabeth K Shon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487706248 PECOS PAC ID: 5395806962 Enrollment ID: I20081202000369 |
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