| Lois V Nightingale, Ph.d. A Psychological Corporation | |
|
16960 Bastanchury Rd Ste J Yorba Linda CA 92886-1711 | |
| (714) 993-5343 | |
| Not Available |
| Full Name | Lois V Nightingale, Ph.d. A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 16960 Bastanchury Rd Ste J, Yorba Linda, California |
| Authorized Official Name and Position | Lois Nightingale (PRESIDENT) |
| Authorized Official Contact | 7149935343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lois V Nightingale, Ph.d. A Psychological Corporation 16960 Bastanchury Rd Ste J Yorba Linda CA 92886-1711 Ph: (714) 993-5343 | Lois V Nightingale, Ph.d. A Psychological Corporation 16960 Bastanchury Rd Ste J Yorba Linda CA 92886-1711 Ph: (714) 993-5343 |
| NPI Number | 1356766638 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Medicare PECOS PAC ID | 1254555386 |
|---|---|
| Medicare Enrollment ID | O20140611002336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356766638 | NPI | - | NPPES |
| 1982700852 | Other | CA | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY9503 (California) | Primary |
| Provider Name | Lois V Nightingale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982700852 PECOS PAC ID: 8325109325 Enrollment ID: I20081209000711 |
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