| Michelle Harriman Psychologist A Professional Corporation | |
|
1440 N Harbor Blvd Ste 808 Fullerton CA 92835 | |
| (818) 269-7224 | |
| (772) 679-2402 |
| Full Name | Michelle Harriman Psychologist A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1440 N Harbor Blvd Ste 808, Fullerton, California |
| Authorized Official Name and Position | Michelle Harriman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8182697224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Harriman Psychologist A Professional Corporation 1440 N Harbor Blvd Ste 900 Fullerton CA 92835-4122 Ph: (818) 269-7224 | Michelle Harriman Psychologist A Professional Corporation 1440 N Harbor Blvd Ste 808 Fullerton CA 92835 Ph: (818) 269-7224 |
| NPI Number | 1134636327 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 9234583485 |
|---|---|
| Medicare Enrollment ID | O20230921003978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134636327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY19763 (California) | Primary |
| Provider Name | Michelle Lynnette Harriman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588799167 PECOS PAC ID: 7416269329 Enrollment ID: I20150707001544 |
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