Free Again Consulting | |
2880 Cochran St # 1009 Simi Valley CA 93065-0700 | |
(818) 971-9194 | |
(855) 270-9495 |
Full Name | Free Again Consulting |
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Speciality | Psychologist |
Location | 2880 Cochran St # 1009, Simi Valley, California |
Authorized Official Name and Position | Soha Heidari Gonzalez (CLINIC DIRECTOR) |
Authorized Official Contact | 8189719194 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Free Again Consulting 2880 Cochran St # 1009 Simi Valley CA 93065-0700 Ph: (818) 971-9194 | Free Again Consulting 2880 Cochran St # 1009 Simi Valley CA 93065-0700 Ph: (818) 971-9194 |
NPI Number | 1972071728 |
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Provider Enumeration Date | 11/09/2018 |
Last Update Date | 12/28/2021 |
Certification Date | 12/28/2021 |
Medicare PECOS PAC ID | 0840620738 |
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Medicare Enrollment ID | O20200416001631 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972071728 | NPI | - | NPPES |
1275799298 | Other | CA | CLINICAL PSYCHOLOGIST |
Provider Name | Roudabeh Rahbar |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174677629 PECOS PAC ID: 9537209622 Enrollment ID: I20091222000139 |
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