| Mellow Psychological Services, Inc. | |
|
200 Pier Ave Suite 424 Hermosa Beach CA 90254-3608 | |
| (800) 593-2560 | |
| (800) 593-2560 |
| Full Name | Mellow Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 200 Pier Ave, Hermosa Beach, California |
| Authorized Official Name and Position | Colleen F. Long (OWNER) |
| Authorized Official Contact | 8005932560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellow Psychological Services, Inc. 200 Pier Ave Suite 424 Hermosa Beach CA 90254-3608 Ph: (800) 593-2560 | Mellow Psychological Services, Inc. 200 Pier Ave Suite 424 Hermosa Beach CA 90254-3608 Ph: (800) 593-2560 |
| NPI Number | 1457608804 |
|---|---|
| Provider Enumeration Date | 08/04/2012 |
| Last Update Date | 08/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457608804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23911 (California) | Primary |
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