| Ffs Psychologist | |
|
303 E Vanderbilt Way San Bernardino CA 92415-0026 | |
| (909) 388-0801 | |
| (909) 890-0435 |
| Full Name | Ffs Psychologist |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 303 E Vanderbilt Way, San Bernardino, California |
| Authorized Official Name and Position | Casonya Thomas (DIRECTOR) |
| Authorized Official Contact | 9093880801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ffs Psychologist 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | Ffs Psychologist 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 |
| NPI Number | 1043416159 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043416159 | NPI | - | NPPES |
| 3600036A3 | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
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