| Glidepath Behavioral Health | |
|
3122 Sugarberry Court Walnut Creek CA 94598-9459 | |
| (562) 667-6523 | |
| (925) 291-5500 |
| Full Name | Glidepath Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3122 Sugarberry Court, Walnut Creek, California |
| Authorized Official Name and Position | Joseph John Harrison (PRESIDENT AND PRINCIPAL CLINICIAN) |
| Authorized Official Contact | 5626676523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glidepath Behavioral Health 3122 Sugarberry Ct Walnut Creek CA 94598-1727 Ph: (562) 667-6523 | Glidepath Behavioral Health 3122 Sugarberry Court Walnut Creek CA 94598-9459 Ph: (562) 667-6523 |
| NPI Number | 1114671849 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Medicare PECOS PAC ID | 6204223324 |
|---|---|
| Medicare Enrollment ID | O20220420000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671849 | NPI | - | NPPES |
| Provider Name | Joseph John Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902140114 PECOS PAC ID: 1153623384 Enrollment ID: I20160105002945 |
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