| Inner Peace Psychotherapy, Pc | |
|
14751 Plaza Dr Suite F Tustin CA 92780-2702 | |
| (858) 775-8040 | |
| (714) 544-4472 |
| Full Name | Inner Peace Psychotherapy, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14751 Plaza Dr, Tustin, California |
| Authorized Official Name and Position | Daniel Tucker (PSYCHOLOGIST) |
| Authorized Official Contact | 8587758040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Psychotherapy, Pc 14751 Plaza Dr Suite F Tustin CA 92780-2702 Ph: (858) 775-8040 | Inner Peace Psychotherapy, Pc 14751 Plaza Dr Suite F Tustin CA 92780-2702 Ph: (858) 775-8040 |
| NPI Number | 1598179814 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 06/13/2014 |
| Medicare PECOS PAC ID | 2769603612 |
|---|---|
| Medicare Enrollment ID | O20141020000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598179814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY23827 (California) | Primary |
| Provider Name | Daniel D Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053621177 PECOS PAC ID: 5395926935 Enrollment ID: I20110302000157 |
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