| Early Life Child Psychology And Education Center | |
|
23822 Valencia Blvd Ste 207 Valencia CA 91355-5348 | |
| (661) 437-3287 | |
| (661) 244-3513 |
| Full Name | Early Life Child Psychology And Education Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 23822 Valencia Blvd Ste 207, Valencia, California |
| Authorized Official Name and Position | David B. Judd (PRESIDENT) |
| Authorized Official Contact | 6613122875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Life Child Psychology And Education Center 23822 Valencia Blvd Ste 207 Valencia CA 91355-5348 Ph: (661) 437-3287 | Early Life Child Psychology And Education Center 23822 Valencia Blvd Ste 207 Valencia CA 91355-5348 Ph: (661) 437-3287 |
| NPI Number | 1225465271 |
|---|---|
| Provider Enumeration Date | 10/07/2013 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 2163834029 |
|---|---|
| Medicare Enrollment ID | O20201217000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225465271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY24819 (California) | Primary |
| Provider Name | Donna Truong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972798098 PECOS PAC ID: 1658600614 Enrollment ID: I20190917001690 |
| Provider Name | David Billeter Judd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336305861 PECOS PAC ID: 4981016847 Enrollment ID: I20201230001677 |
| Provider Name | Elani N Tuchman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1033468053 PECOS PAC ID: 0648683003 Enrollment ID: I20210105000696 |
| Provider Name | Chelsea Irene Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487087045 PECOS PAC ID: 2769853027 Enrollment ID: I20230124001844 |
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