| Mk Neuropsychology Services, Pc | |
|
6520 Lonetree Blvd Ste 1021 Rocklin CA 95765-5874 | |
| (916) 672-1427 | |
| Not Available |
| Full Name | Mk Neuropsychology Services, Pc |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 1658633680 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184134348 PECOS PAC ID: 7517226798 Enrollment ID: I20180116000643 |
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