| Kooyman Psychological Services, Inc. | |
|
16052 Beach Blvd Ste 214 Huntington Beach CA 92647-3851 | |
| (714) 225-0815 | |
| (714) 841-7474 |
| Full Name | Kooyman Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16052 Beach Blvd Ste 214, Huntington Beach, California |
| Authorized Official Name and Position | Debbi R Kooyman (PRESIDENT & CEO) |
| Authorized Official Contact | 7142250815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kooyman Psychological Services, Inc. Po Box 312 Surfside CA 90743-0312 Ph: (714) 225-0815 | Kooyman Psychological Services, Inc. 16052 Beach Blvd Ste 214 Huntington Beach CA 92647-3851 Ph: (714) 225-0815 |
| NPI Number | 1558613109 |
|---|---|
| Provider Enumeration Date | 10/06/2012 |
| Last Update Date | 10/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558613109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY20091 (California) | Primary |
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