| Mary E Eason Ph D A Psychological Services Corporation | |
|
305 N Harbor Blvd Ste 202 Fullerton CA 92832-1901 | |
| (714) 879-5868 | |
| (714) 879-5858 |
| Full Name | Mary E Eason Ph D A Psychological Services Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 305 N Harbor Blvd Ste 202, Fullerton, California |
| Authorized Official Name and Position | Mary E Eason (PRESIDENT) |
| Authorized Official Contact | 7148795868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Eason Ph D A Psychological Services Corporation 305 N Harbor Blvd Ste 202 Fullerton CA 92832-1901 Ph: (714) 879-5868 | Mary E Eason Ph D A Psychological Services Corporation 305 N Harbor Blvd Ste 202 Fullerton CA 92832-1901 Ph: (714) 879-5868 |
| NPI Number | 1912684507 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 3375903842 |
|---|---|
| Medicare Enrollment ID | O20230714003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912684507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mary E Eason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427138593 PECOS PAC ID: 9739074311 Enrollment ID: I20040220001145 |
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