Mind Opener Psychological Services, Inc | |
27001 La Paz Rd Ste 403 Mission Viejo CA 92691-5529 | |
(949) 215-4200 | |
(949) 215-5600 |
Full Name | Mind Opener Psychological Services, Inc |
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Speciality | Psychologist - Counseling |
Location | 27001 La Paz Rd Ste 403, Mission Viejo, California |
Authorized Official Name and Position | Richard Allen Shulman (PRESIDENT) |
Authorized Official Contact | 9492154200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Opener Psychological Services, Inc 27001 La Paz Rd Ste 403 Mission Viejo CA 92691-5529 Ph: (949) 215-4200 | Mind Opener Psychological Services, Inc 27001 La Paz Rd Ste 403 Mission Viejo CA 92691-5529 Ph: (949) 215-4200 |
NPI Number | 1508016569 |
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Provider Enumeration Date | 09/26/2008 |
Last Update Date | 12/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508016569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | PSY 17982 (California) | Primary |
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