| Michele Wilkens Psyd A Psychological Corporation | |
|
65 N Madison Ave Ste 601 Pasadena CA 91101-2047 | |
| (323) 375-8175 | |
| Not Available |
| Full Name | Michele Wilkens Psyd A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 65 N Madison Ave Ste 601, Pasadena, California |
| Authorized Official Name and Position | Michele Wilkens (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3233758175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Wilkens Psyd A Psychological Corporation 65 N Madison Ave Ste 601 Pasadena CA 91101-2047 Ph: (323) 375-8175 | Michele Wilkens Psyd A Psychological Corporation 65 N Madison Ave Ste 601 Pasadena CA 91101-2047 Ph: (323) 375-8175 |
| NPI Number | 1679941983 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 4789991696 |
|---|---|
| Medicare Enrollment ID | O20150909002337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679941983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY25549 (California) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Michele M Wilkens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942324314 PECOS PAC ID: 4385951292 Enrollment ID: I20150922000864 |
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