| Mind Well Psychological Services, Pc | |
|
648 Avenue B Redondo Beach CA 90277-4829 | |
| (708) 466-6443 | |
| Not Available |
| Full Name | Mind Well Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 648 Avenue B, Redondo Beach, California |
| Authorized Official Name and Position | Lori Q Chaib (DIRECTOR) |
| Authorized Official Contact | 7084666443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Well Psychological Services, Pc 648 Avenue B Redondo Beach CA 90277-4829 Ph: (708) 466-6443 | Mind Well Psychological Services, Pc 648 Avenue B Redondo Beach CA 90277-4829 Ph: (708) 466-6443 |
| NPI Number | 1053740746 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053740746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY25255 (California) | Primary |
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