| Kristin A. Liang, Ph.d. Professional Psychological Services Inc | |
|
500 W Badillo St Covina CA 91722-3762 | |
| (626) 339-0288 | |
| (626) 339-2248 |
| Full Name | Kristin A. Liang, Ph.d. Professional Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 500 W Badillo St, Covina, California |
| Authorized Official Name and Position | Kristin A Liang (PSYCHOLOGIST) |
| Authorized Official Contact | 6263390288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin A. Liang, Ph.d. Professional Psychological Services Inc 500 W Badillo St Covina CA 91722-3762 Ph: (626) 339-0288 | Kristin A. Liang, Ph.d. Professional Psychological Services Inc 500 W Badillo St Covina CA 91722-3762 Ph: (626) 339-0288 |
| NPI Number | 1669863056 |
|---|---|
| Provider Enumeration Date | 02/07/2015 |
| Last Update Date | 02/07/2015 |
| Medicare PECOS PAC ID | 1759692403 |
|---|---|
| Medicare Enrollment ID | O20150622001510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669863056 | NPI | - | NPPES |
| PSY229020 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY22902 (California) | Primary |
| Provider Name | Kristin A Liang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578796397 PECOS PAC ID: 1052441755 Enrollment ID: I20100607000369 |
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