| Gordon W Caras Ph D A Professional Psychological Corporation | |
|
1907 Estrella De Mar Ct Unit D Carlsbad CA 92009-6125 | |
| (858) 208-3589 | |
| Not Available |
| Full Name | Gordon W Caras Ph D A Professional Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1907 Estrella De Mar Ct Unit D, Carlsbad, California |
| Authorized Official Name and Position | Gordon Caras (OWNER) |
| Authorized Official Contact | 8582083589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon W Caras Ph D A Professional Psychological Corporation 1907 Estrella De Mar Ct Unit D Carlsbad CA 92009-6125 Ph: (858) 208-3589 | Gordon W Caras Ph D A Professional Psychological Corporation 1907 Estrella De Mar Ct Unit D Carlsbad CA 92009-6125 Ph: (858) 208-3589 |
| NPI Number | 1497886394 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 7517338395 |
|---|---|
| Medicare Enrollment ID | O20230116000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497886394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gordon Caras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578946646 PECOS PAC ID: 1153792932 Enrollment ID: I20230116000426 |
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