| Kenneth Garett Phd Inc | |
|
225 S Civic Dr Ste 2-11 Palm Springs CA 92262-7228 | |
| (760) 327-9566 | |
| Not Available |
| Full Name | Kenneth Garett Phd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 S Civic Dr Ste 2-11, Palm Springs, California |
| Authorized Official Name and Position | Kenneth Garett (PRESIDENT) |
| Authorized Official Contact | 7603279566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Garett Phd Inc 225 S Civic Dr Ste 2-11 Palm Springs CA 92262-7228 Ph: (760) 327-9566 | Kenneth Garett Phd Inc 225 S Civic Dr Ste 2-11 Palm Springs CA 92262-7228 Ph: (760) 327-9566 |
| NPI Number | 1588966139 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 05/02/2011 |
| Medicare PECOS PAC ID | 4587852272 |
|---|---|
| Medicare Enrollment ID | O20140523000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588966139 | NPI | - | NPPES |
| 00PL58442 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY5844 (California) | Primary |
| Provider Name | Kenneth Garett |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1982797759 PECOS PAC ID: 5496943185 Enrollment ID: I20101227000199 |
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