Dr Marcia Asgarian Inc | |
755 S Fairmont Ave Lodi CA 95240-4643 | |
(209) 625-9409 | |
Not Available |
Full Name | Dr Marcia Asgarian Inc |
---|---|
Speciality | Psychologist - Cognitive & Behavioral |
Location | 755 S Fairmont Ave, Lodi, California |
Authorized Official Name and Position | Frederick Asgarian (DIRECTOR) |
Authorized Official Contact | 2096259409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Marcia Asgarian Inc Po Box 2655 Lodi CA 95241-2655 Ph: (209) 625-9409 | Dr Marcia Asgarian Inc 755 S Fairmont Ave Lodi CA 95240-4643 Ph: (209) 625-9409 |
NPI Number | 1104336064 |
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Provider Enumeration Date | 10/05/2017 |
Last Update Date | 10/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104336064 | NPI | - | NPPES |
1063636645 | Other | CA | PSYCHOLOGIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 18390 (California) | Primary |
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