| Marc A. Van Enk, Psyd, A Psychological Corporation | |
|
3703 Long Beach Blvd Suite D1 Long Beach CA 90807-3309 | |
| (562) 400-2233 | |
| Not Available |
| Full Name | Marc A. Van Enk, Psyd, A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 3703 Long Beach Blvd, Long Beach, California |
| Authorized Official Name and Position | Marc A Van Enk (OWNER) |
| Authorized Official Contact | 5624002233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A. Van Enk, Psyd, A Psychological Corporation 3703 Long Beach Blvd Suite D1 Long Beach CA 90807-3309 Ph: (562) 400-2233 | Marc A. Van Enk, Psyd, A Psychological Corporation 3703 Long Beach Blvd Suite D1 Long Beach CA 90807-3309 Ph: (562) 400-2233 |
| NPI Number | 1861644551 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 03/04/2011 |
| Medicare PECOS PAC ID | 6103971015 |
|---|---|
| Medicare Enrollment ID | O20090828000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861644551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY20449 (California) | Primary |
| Provider Name | Marc A Van Enk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033150594 PECOS PAC ID: 1759394513 Enrollment ID: I20060720000260 |
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