| Joan M. Ybarra, Psyd., A Psychological Corporation | |
|
599 S Barranca Ave Suite 221 Covina CA 91723-2777 | |
| (909) 573-7660 | |
| (626) 912-6235 |
| Full Name | Joan M. Ybarra, Psyd., A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 599 S Barranca Ave, Covina, California |
| Authorized Official Name and Position | Joan M Ybarra (PRESIDENT) |
| Authorized Official Contact | 9095737660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan M. Ybarra, Psyd., A Psychological Corporation 599 S Barranca Ave Suite 221 Covina CA 91723-2777 Ph: (909) 573-7660 | Joan M. Ybarra, Psyd., A Psychological Corporation 599 S Barranca Ave Suite 221 Covina CA 91723-2777 Ph: (909) 573-7660 |
| NPI Number | 1164520656 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 01/26/2020 |
| Certification Date | 01/26/2020 |
| Medicare PECOS PAC ID | 4789709148 |
|---|---|
| Medicare Enrollment ID | O20200107002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164520656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 16627 (California) | Primary |
| Provider Name | Joan M Ybarra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851730915 PECOS PAC ID: 0042644601 Enrollment ID: I20200127000843 |
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