| Head Strong & Ready | |
|
5755 Oberlin Dr Ste 203 San Diego CA 92121-1786 | |
| (858) 362-5331 | |
| (858) 362-5331 |
| Full Name | Head Strong & Ready |
|---|---|
| Speciality | Clinic/Center |
| Location | 5755 Oberlin Dr Ste 203, San Diego, California |
| Authorized Official Name and Position | Judy Lamb (PSYCHOLOGIST) |
| Authorized Official Contact | 8583625331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Head Strong & Ready 5755 Oberlin Dr Ste 203 San Diego CA 92121-1786 Ph: (858) 362-5331 | Head Strong & Ready 5755 Oberlin Dr Ste 203 San Diego CA 92121-1786 Ph: (858) 362-5331 |
| NPI Number | 1023587367 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 2567700727 |
|---|---|
| Medicare Enrollment ID | O20190213001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023587367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Judy Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710117262 PECOS PAC ID: 2365741949 Enrollment ID: I20160503001828 |
| Provider Name | Tatiana Benton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518626977 PECOS PAC ID: 0345632667 Enrollment ID: I20220119001201 |
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