| Mihlon Psychotherapy Corp | |
|
9400 Grossmont Summit Dr Ste 303 La Mesa CA 91941-4129 | |
| (949) 329-8761 | |
| (619) 828-7647 |
| Full Name | Mihlon Psychotherapy Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 9400 Grossmont Summit Dr Ste 303, La Mesa, California |
| Authorized Official Name and Position | Suzanne H Mihlon (OWNER/CEO) |
| Authorized Official Contact | 9493298761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mihlon Psychotherapy Corp 9400 Grossmont Summit Dr Ste 303 La Mesa CA 91941-4129 Ph: (949) 329-8761 | Mihlon Psychotherapy Corp 9400 Grossmont Summit Dr Ste 303 La Mesa CA 91941-4129 Ph: (949) 329-8761 |
| NPI Number | 1831805928 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 4385094333 |
|---|---|
| Medicare Enrollment ID | O20240103001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831805928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Suzanne Huxel Mihlon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700329851 PECOS PAC ID: 8820343528 Enrollment ID: I20181220003014 |
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