| |
100 Howe Ave Suite 155n Sacramento CA 95825-8202 | |
(916) 482-6463 | |
(916) 482-1327 |
Full Name | |
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Speciality | Psychologist |
Location | 100 Howe Ave, Sacramento, California |
Authorized Official Name and Position | Troy J. Ewing (CEO) |
Authorized Official Contact | 9164826469 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Howe Ave Suite 155n Sacramento CA 95825-8202 Ph: (916) 482-6463 | 100 Howe Ave Suite 155n Sacramento CA 95825-8202 Ph: (916) 482-6463 |
NPI Number | 1750655296 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/27/2013 |
Identifier | Type | State | Issuer |
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1750655296 | NPI | - | NPPES |
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