| East West Operational Stress, Injury And Resilience | |
|
533 2nd St Ste 114 Encinitas CA 92024-3558 | |
| (760) 470-5731 | |
| (760) 436-3521 |
| Full Name | East West Operational Stress, Injury And Resilience |
|---|---|
| Speciality | Psychologist |
| Location | 533 2nd St Ste 114, Encinitas, California |
| Authorized Official Name and Position | Heather Martens (PRESIDENT) |
| Authorized Official Contact | 7604705731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East West Operational Stress, Injury And Resilience 533 2nd St Ste 114 Encinitas CA 92024-3558 Ph: () - | East West Operational Stress, Injury And Resilience 533 2nd St Ste 114 Encinitas CA 92024-3558 Ph: (760) 470-5731 |
| NPI Number | 1841912250 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 4183093941 |
|---|---|
| Medicare Enrollment ID | O20221217000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841912250 | NPI | - | NPPES |
| Provider Name | Heather Anne Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801232905 PECOS PAC ID: 2062726029 Enrollment ID: I20150804005069 |
| Provider Name | Stephanie Kann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780978395 PECOS PAC ID: 5092184853 Enrollment ID: I20230329002245 |
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