Mk Neuropsychology Services, Pc | |
6520 Lonetree Blvd Ste 1021 Rocklin CA 95765-5874 | |
(916) 672-1427 | |
Not Available |
Full Name | Mk Neuropsychology Services, Pc |
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Speciality | Clinical Neuropsychologist |
Location | 6520 Lonetree Blvd Ste 1021, Rocklin, California |
Authorized Official Name and Position | Marina Kaminetskaya (NEUROPSYCHOLOGIST/PRESIDENT) |
Authorized Official Contact | 9166721427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mk Neuropsychology Services, Pc 6520 Lonetree Blvd Ste 1021 Rocklin CA 95765-5874 Ph: (916) 672-1427 | Mk Neuropsychology Services, Pc 6520 Lonetree Blvd Ste 1021 Rocklin CA 95765-5874 Ph: (916) 672-1427 |
NPI Number | 1194233866 |
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Provider Enumeration Date | 01/16/2018 |
Last Update Date | 01/29/2018 |
Medicare PECOS PAC ID | 1658633680 |
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Medicare Enrollment ID | O20180402001738 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194233866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
Provider Name | Marina Kaminetskaya |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184134348 PECOS PAC ID: 7517226798 Enrollment ID: I20180116000643 |
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