| Embodiment Psychology Group A Professional Corporation | |
|
415 N Camden Dr Ste 214 Beverly Hills CA 90210-4439 | |
| (213) 249-0118 | |
| Not Available |
| Full Name | Embodiment Psychology Group A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 415 N Camden Dr Ste 214, Beverly Hills, California |
| Authorized Official Name and Position | Heather Laface (OWNER) |
| Authorized Official Contact | 2132490118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodiment Psychology Group A Professional Corporation 415 N Camden Dr Ste 214 Beverly Hills CA 90210-4439 Ph: () - | Embodiment Psychology Group A Professional Corporation 415 N Camden Dr Ste 214 Beverly Hills CA 90210-4439 Ph: (213) 249-0118 |
| NPI Number | 1336848100 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 3476928870 |
|---|---|
| Medicare Enrollment ID | O20230418001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336848100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Heather C Laface |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821421009 PECOS PAC ID: 6305168162 Enrollment ID: I20141205000029 |
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