| Elevate Psychological Group Inc | |
|
80 Wood Rd Ste 306 Camarillo CA 93010-8312 | |
| (805) 244-6919 | |
| Not Available |
| Full Name | Elevate Psychological Group Inc |
|---|---|
| Speciality | Psychologist |
| Location | 80 Wood Rd Ste 306, Camarillo, California |
| Authorized Official Name and Position | Robert Edward Sack (OWNER) |
| Authorized Official Contact | 8052446919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Psychological Group Inc 80 Wood Rd Ste 306 Camarillo CA 93010-8312 Ph: (805) 244-6919 | Elevate Psychological Group Inc 80 Wood Rd Ste 306 Camarillo CA 93010-8312 Ph: (805) 244-6919 |
| NPI Number | 1194317750 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Certification Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194317750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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