Horace Beach Phd California Professional Psychology Corporation | |
1460 Washington Blvd Ste C-6 Concord CA 94521-4048 | |
(925) 494-3366 | |
Not Available |
Full Name | Horace Beach Phd California Professional Psychology Corporation |
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Speciality | Psychologist |
Location | 1460 Washington Blvd Ste C-6, Concord, California |
Authorized Official Name and Position | Horace Beach (PSYCHOLOGIST) |
Authorized Official Contact | 9254943366 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Horace Beach Phd California Professional Psychology Corporation 1460 Washington Blvd Ste C-6 Concord CA 94521-4048 Ph: (925) 494-3366 | Horace Beach Phd California Professional Psychology Corporation 1460 Washington Blvd Ste C-6 Concord CA 94521-4048 Ph: (925) 494-3366 |
NPI Number | 1174008833 |
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Provider Enumeration Date | 09/28/2018 |
Last Update Date | 09/28/2018 |
Medicare PECOS PAC ID | 5395086839 |
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Medicare Enrollment ID | O20190409003272 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174008833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Horace J Beach |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407918576 PECOS PAC ID: 7618117953 Enrollment ID: I20130709000486 |
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