Nekoranec Psychology, A Prof Corp | |
30230 Rancho Viejo Rd # 134 San Juan Capistrano CA 92675-1557 | |
(949) 371-7856 | |
Not Available |
Full Name | Nekoranec Psychology, A Prof Corp |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 30230 Rancho Viejo Rd # 134, San Juan Capistrano, California |
Authorized Official Name and Position | Janise Marie Nekoranec (OWNER) |
Authorized Official Contact | 9493717856 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nekoranec Psychology, A Prof Corp 30230 Rancho Viejo Rd # 134 San Juan Capistrano CA 92675-1557 Ph: (949) 371-7856 | Nekoranec Psychology, A Prof Corp 30230 Rancho Viejo Rd # 134 San Juan Capistrano CA 92675-1557 Ph: (949) 371-7856 |
NPI Number | 1861898140 |
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Provider Enumeration Date | 11/13/2014 |
Last Update Date | 02/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861898140 | NPI | - | NPPES |
GY831A | Other | CA | MEDICARE PTAN |
1831439652 | Other | CA | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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