| Keystone Pediatric Behavioral Health | |
|
610 Pacific Coast Hwy Suite 201 Seal Beach CA 90740-6604 | |
| (562) 356-8600 | |
| Not Available |
| Full Name | Keystone Pediatric Behavioral Health |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 610 Pacific Coast Hwy, Seal Beach, California |
| Authorized Official Name and Position | Michele Audrey Ocen (PSYCHOLOGIST/ BCBA) |
| Authorized Official Contact | 5623568600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Pediatric Behavioral Health 550 Temple Ave Apt 26 Long Beach CA 90814-1255 Ph: (562) 356-8600 | Keystone Pediatric Behavioral Health 610 Pacific Coast Hwy Suite 201 Seal Beach CA 90740-6604 Ph: (562) 356-8600 |
| NPI Number | 1992169940 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992169940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 27081 (California) | Primary |
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