| Move Forward Psychology Consultation Pc | |
|
870 Market St Ste 357 San Francisco CA 94102-3030 | |
| (415) 963-3536 | |
| (415) 963-3536 |
| Full Name | Move Forward Psychology Consultation Pc |
|---|---|
| Speciality | Psychologist |
| Location | 870 Market St Ste 357, San Francisco, California |
| Authorized Official Name and Position | Richard James Pomfret (PRESIDENT) |
| Authorized Official Contact | 4159633536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Move Forward Psychology Consultation Pc Po Box 150333 San Rafael CA 94915-0333 Ph: (415) 963-3536 | Move Forward Psychology Consultation Pc 870 Market St Ste 357 San Francisco CA 94102-3030 Ph: (415) 963-3536 |
| NPI Number | 1932785565 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 4183032584 |
|---|---|
| Medicare Enrollment ID | O20210425000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932785565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard James Pomfret Jr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891914107 PECOS PAC ID: 1052698222 Enrollment ID: I20170426001779 |
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