Inland Psychiatric Offices | |
2522 Grand Canal Blvd #1 Stockton CA 95207 | |
(209) 951-4666 | |
(209) 951-5829 |
Full Name | Inland Psychiatric Offices |
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Speciality | Marriage & Family Therapist |
Location | 2522 Grand Canal Blvd, Stockton, California |
Authorized Official Name and Position | Sharon Ruth Buck (OFFICE MANAGER) |
Authorized Official Contact | 2099514666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inland Psychiatric Offices 2522 Grand Canal Blvd #1 Stockton CA 95207 Ph: (209) 951-4666 | Inland Psychiatric Offices 2522 Grand Canal Blvd #1 Stockton CA 95207 Ph: (209) 951-4666 |
NPI Number | 1376668053 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376668053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 14605 (California) | Primary |
106H00000X | Marriage & Family Therapist | 27277 (California) | Primary |
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