| Momentum For Mental Health - A.s.s.i.s.t. Solano Outpatient | |
|
1935 Kidder Ave Fairfield CA 94533-3919 | |
| (707) 425-2741 | |
| (707) 425-2862 |
| Full Name | Momentum For Mental Health - A.s.s.i.s.t. Solano Outpatient |
|---|---|
| Speciality | Psychologist |
| Location | 1935 Kidder Ave, Fairfield, California |
| Authorized Official Name and Position | John S. Smelser (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4082617777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum For Mental Health - A.s.s.i.s.t. Solano Outpatient 2001 The Alameda San Jose CA 95126-1136 Ph: (408) 261-7777 | Momentum For Mental Health - A.s.s.i.s.t. Solano Outpatient 1935 Kidder Ave Fairfield CA 94533-3919 Ph: (707) 425-2741 |
| NPI Number | 1336367010 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336367010 | NPI | - | NPPES |
| 48AS | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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