Ndfya-ca | |
100 Longbrook Way Ste. 20 Pleasant Hill CA 94523 | |
(877) 763-5102 | |
(954) 571-5265 |
Full Name | Ndfya-ca |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 100 Longbrook Way, Pleasant Hill, California |
Authorized Official Name and Position | Andrew Seth Rubin (CEO) |
Authorized Official Contact | 9547787808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ndfya-ca 3275 W. Hillsboro Blvd Ste. 110 Deerfield Beach FL 33442 Ph: (954) 571-5102 | Ndfya-ca 100 Longbrook Way Ste. 20 Pleasant Hill CA 94523 Ph: (877) 763-5102 |
NPI Number | 1700290962 |
---|---|
Provider Enumeration Date | 06/16/2014 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700290962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSY 15497 (California) | Primary |
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