| Duet Psychological Services, Inc. | |
|
3990 Old Town Ave Ste A208 San Diego CA 92110-2967 | |
| (619) 794-4229 | |
| (619) 330-2003 |
| Full Name | Duet Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3990 Old Town Ave Ste A208, San Diego, California |
| Authorized Official Name and Position | Kimberly Loewen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6197944229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duet Psychological Services, Inc. 3990 Old Town Ave Ste A208 San Diego CA 92110-2967 Ph: (619) 794-4229 | Duet Psychological Services, Inc. 3990 Old Town Ave Ste A208 San Diego CA 92110-2967 Ph: (619) 794-4229 |
| NPI Number | 1790304947 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Medicare PECOS PAC ID | 1759712268 |
|---|---|
| Medicare Enrollment ID | O20200518002273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790304947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly L Bohy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558520718 PECOS PAC ID: 9537330105 Enrollment ID: I20110913000247 |
| Provider Name | Nathan Bohy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255656617 PECOS PAC ID: 1951607050 Enrollment ID: I20160316001325 |
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