| Empowered Psychological Services Inc. | |
|
1299 4th St Ste 401 San Rafael CA 94901-3030 | |
| (415) 505-1201 | |
| Not Available |
| Full Name | Empowered Psychological Services Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1299 4th St Ste 401, San Rafael, California |
| Authorized Official Name and Position | Douglas Crawford (DIRECTOR) |
| Authorized Official Contact | 2144776154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Psychological Services Inc. 1299 4th St Ste 401 San Rafael CA 94901-3030 Ph: (415) 505-1201 | Empowered Psychological Services Inc. 1299 4th St Ste 401 San Rafael CA 94901-3030 Ph: (415) 505-1201 |
| NPI Number | 1508628116 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508628116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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