| F A C T Psychology Professional Corporation | |
|
22606 Hamlin St West Hills CA 91307-3638 | |
| (407) 620-1120 | |
| Not Available |
| Full Name | F A C T Psychology Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 22606 Hamlin St, West Hills, California |
| Authorized Official Name and Position | Bethany Walters (OWNER) |
| Authorized Official Contact | 3236093313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F A C T Psychology Professional Corporation 23055 Sherman Way Unit 4482 West Hills CA 91308-7029 Ph: (407) 620-1120 | F A C T Psychology Professional Corporation 22606 Hamlin St West Hills CA 91307-3638 Ph: (407) 620-1120 |
| NPI Number | 1447078936 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Medicare PECOS PAC ID | 6608308697 |
|---|---|
| Medicare Enrollment ID | O20241015004110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447078936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany Walters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669223640 PECOS PAC ID: 4183164197 Enrollment ID: I20240905000832 |
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