| Medical Psychology Services, Inc. | |
|
820 Bay Ave Suite 248 Capitola CA 95010-2140 | |
| (831) 621-1150 | |
| (831) 621-1154 |
| Full Name | Medical Psychology Services, Inc. |
|---|---|
| Speciality | Psychologist - Health |
| Location | 820 Bay Ave, Capitola, California |
| Authorized Official Name and Position | Gitty K Dashtban (PRESIDENT) |
| Authorized Official Contact | 8316211150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Psychology Services, Inc. 820 Bay Ave Suite 248 Capitola CA 95010-2140 Ph: (831) 621-1150 | Medical Psychology Services, Inc. 820 Bay Ave Suite 248 Capitola CA 95010-2140 Ph: (831) 621-1150 |
| NPI Number | 1740510809 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740510809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | PSY22256 (California) | Primary |
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