Intrinsically Healthy Psychological Services Inc | |
2575 E Perrin Ave Ste 110 Fresno CA 93720-5204 | |
(209) 988-0801 | |
Not Available |
Full Name | Intrinsically Healthy Psychological Services Inc |
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Speciality | Clinic/Center |
Location | 2575 E Perrin Ave Ste 110, Fresno, California |
Authorized Official Name and Position | Jennifer Soares (OWNER, PSYCHOLOGIST) |
Authorized Official Contact | 2099880801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intrinsically Healthy Psychological Services Inc 2084 E Rush Ave Fresno CA 93730-4700 Ph: (209) 988-0801 | Intrinsically Healthy Psychological Services Inc 2575 E Perrin Ave Ste 110 Fresno CA 93720-5204 Ph: (209) 988-0801 |
NPI Number | 1356826515 |
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Provider Enumeration Date | 10/03/2018 |
Last Update Date | 03/03/2020 |
Certification Date | 03/03/2020 |
Medicare PECOS PAC ID | 3577999309 |
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Medicare Enrollment ID | O20200214000224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356826515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Jennifer Lynn Soares |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215161914 PECOS PAC ID: 4486080215 Enrollment ID: I20200305000411 |
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