| James A. Reavis, Psy.d. A Psychological Corporation | |
|
964 5th Ave # 200 San Diego CA 92101-6102 | |
| (619) 234-7970 | |
| (619) 699-5945 |
| Full Name | James A. Reavis, Psy.d. A Psychological Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 964 5th Ave # 200, San Diego, California |
| Authorized Official Name and Position | James A Reavis (CEO) |
| Authorized Official Contact | 6192347970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A. Reavis, Psy.d. A Psychological Corporation 964 5th Ave # 200 San Diego CA 92101-6102 Ph: (619) 234-7970 | James A. Reavis, Psy.d. A Psychological Corporation 964 5th Ave # 200 San Diego CA 92101-6102 Ph: (619) 234-7970 |
| NPI Number | 1437398468 |
|---|---|
| Provider Enumeration Date | 02/14/2009 |
| Last Update Date | 02/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437398468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY17404 (California) | Primary |
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