| Julie Manoogian Psyd Psychologist Apc | |
|
12625 High Bluff Dr Ste 202 San Diego CA 92130-2053 | |
| (858) 213-1014 | |
| Not Available |
| Full Name | Julie Manoogian Psyd Psychologist Apc |
|---|---|
| Speciality | Psychologist |
| Location | 12625 High Bluff Dr Ste 202, San Diego, California |
| Authorized Official Name and Position | Julie Manoogian (PRESIDENT / OWNER) |
| Authorized Official Contact | 8582131014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Manoogian Psyd Psychologist Apc 12625 High Bluff Dr Ste 202 San Diego CA 92130-2053 Ph: (858) 213-1014 | Julie Manoogian Psyd Psychologist Apc 12625 High Bluff Dr Ste 202 San Diego CA 92130-2053 Ph: (858) 213-1014 |
| NPI Number | 1851924401 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Medicare PECOS PAC ID | 1850722448 |
|---|---|
| Medicare Enrollment ID | O20200514002778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851924401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie P Manoogian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922658418 PECOS PAC ID: 9234564972 Enrollment ID: I20200127001644 |
| Provider Name | Amy C Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942840855 PECOS PAC ID: 2961838784 Enrollment ID: I20240128000284 |
| Provider Name | Paige A Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386299535 PECOS PAC ID: 6507204930 Enrollment ID: I20240404002218 |
| Provider Name | Rebecca R Clement |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003111477 PECOS PAC ID: 7416395777 Enrollment ID: I20240404003795 |
| Provider Name | Sue E Shrader-hanes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669962601 PECOS PAC ID: 4789024183 Enrollment ID: I20240502001462 |
| Provider Name | Caitlin F Zahlis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417713629 PECOS PAC ID: 6608217476 Enrollment ID: I20240510000328 |
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