| Lomibao Psychological Services Pc | |
|
8788 Elk Grove Blvd Elk Grove CA 95624-1766 | |
| (916) 509-1415 | |
| (916) 273-9757 |
| Full Name | Lomibao Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8788 Elk Grove Blvd, Elk Grove, California |
| Authorized Official Name and Position | Madaline Lomibao (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9165091415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lomibao Psychological Services Pc Po Box 582602 Elk Grove CA 95758-0044 Ph: (916) 509-1415 | Lomibao Psychological Services Pc 8788 Elk Grove Blvd Elk Grove CA 95624-1766 Ph: (916) 509-1415 |
| NPI Number | 1467217588 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467217588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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