Inland Psychological Prof.corp. | |
1407 Foothill Blvd # 61 La Verne CA 91750-3451 | |
(909) 596-3577 | |
(909) 593-6456 |
Full Name | Inland Psychological Prof.corp. |
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Speciality | Psychologist - Clinical |
Location | 1407 Foothill Blvd # 61, La Verne, California |
Authorized Official Name and Position | Cathryn Irena Harris (SECRETARY) |
Authorized Official Contact | 9095963577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inland Psychological Prof.corp. 12530 10th St Suite D Chino CA 91710-3520 Ph: () - | Inland Psychological Prof.corp. 1407 Foothill Blvd # 61 La Verne CA 91750-3451 Ph: (909) 596-3577 |
NPI Number | 1942428180 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942428180 | NPI | - | NPPES |
1375724 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY8000 (California) | Primary |
Tri-city Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3102 D St, La Verne, CA 91750 Phone: 909-766-7340 | |
Tri-city Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2715 E St, La Verne, CA 91750 Phone: 909-971-8205 | |
Ideal Care & Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 Stephens Ranch Rd, La Verne, CA 91750 Phone: 310-806-2693 Fax: 909-865-0193 |