| Marcia Jella' Rennie, Phd, A Psychological Corp | |
|
825 Zion St Nevada City CA 95959-2922 | |
| (530) 265-2199 | |
| (530) 265-2619 |
| Full Name | Marcia Jella' Rennie, Phd, A Psychological Corp |
|---|---|
| Speciality | Psychologist |
| Location | 825 Zion St, Nevada City, California |
| Authorized Official Name and Position | Marcia J Rennie (PRESIDENT) |
| Authorized Official Contact | 5302652199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Jella' Rennie, Phd, A Psychological Corp 825 Zion St Nevada City CA 95959-2922 Ph: (530) 265-2199 | Marcia Jella' Rennie, Phd, A Psychological Corp 825 Zion St Nevada City CA 95959-2922 Ph: (530) 265-2199 |
| NPI Number | 1336376748 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/12/2009 |
| Medicare PECOS PAC ID | 1254481013 |
|---|---|
| Medicare Enrollment ID | O20090617000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 22214 (California) | Primary |
| Provider Name | Marcia J Rennie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750527222 PECOS PAC ID: 8527118389 Enrollment ID: I20090617000042 |
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