| Inner Center Psychological Corporation | |
|
1276 N Palm Canyon Dr Ste 109 Palm Springs CA 92262-4429 | |
| (760) 403-0573 | |
| Not Available |
| Full Name | Inner Center Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1276 N Palm Canyon Dr Ste 109, Palm Springs, California |
| Authorized Official Name and Position | Shari Reville (OWNER) |
| Authorized Official Contact | 7604030573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Center Psychological Corporation 1276 N Palm Canyon Dr Ste 109 Palm Springs CA 92262-4429 Ph: (760) 403-0573 | Inner Center Psychological Corporation 1276 N Palm Canyon Dr Ste 109 Palm Springs CA 92262-4429 Ph: (760) 403-0573 |
| NPI Number | 1821850850 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 7719325869 |
|---|---|
| Medicare Enrollment ID | O20240409001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821850850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shari Reville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932144177 PECOS PAC ID: 3870407083 Enrollment ID: I20031112000788 |
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