| Kids Play Therapy, Inc. | |
|
5100 N 6th St #140 Fresno CA 93710-7514 | |
| (559) 246-0210 | |
| Not Available |
| Full Name | Kids Play Therapy, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5100 N 6th St, Fresno, California |
| Authorized Official Name and Position | Mary Elizabeth Watts (CEO) |
| Authorized Official Contact | 5592460210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Play Therapy, Inc. 1550 E Niles Ave Fresno CA 93720-2300 Ph: (559) 246-0210 | Kids Play Therapy, Inc. 5100 N 6th St #140 Fresno CA 93710-7514 Ph: (559) 246-0210 |
| NPI Number | 1306009642 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306009642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS19627 (California) | Primary |
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