| Katie Enney Psychologist Inc | |
|
2898 Rowena Ave Suite 206 Los Angeles CA 90039-2020 | |
| (818) 583-7134 | |
| Not Available |
| Full Name | Katie Enney Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2898 Rowena Ave, Los Angeles, California |
| Authorized Official Name and Position | Katie Enney (PRESIDENT) |
| Authorized Official Contact | 8185837134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Enney Psychologist Inc 1941 New York Dr Altadena CA 91001-3425 Ph: (818) 583-7134 | Katie Enney Psychologist Inc 2898 Rowena Ave Suite 206 Los Angeles CA 90039-2020 Ph: (818) 583-7134 |
| NPI Number | 1245787340 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/27/2016 |
| Medicare PECOS PAC ID | 0941580930 |
|---|---|
| Medicare Enrollment ID | O20161208001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245787340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY28571 (California) | Primary |
| Provider Name | Katie Holmes Enney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144776246 PECOS PAC ID: 1850671843 Enrollment ID: I20161208001971 |
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