Neuro-rehab Psychological Consultation & Treatment Services, Inc. | |
595 E Colorado Blvd Ste 307 Pasadena CA 91101-2021 | |
(626) 710-7838 | |
Not Available |
Full Name | Neuro-rehab Psychological Consultation & Treatment Services, Inc. |
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Speciality | Psychologist |
Location | 595 E Colorado Blvd Ste 307, Pasadena, California |
Authorized Official Name and Position | Mona Mikael (CLINICIAN/PSYCHOLOGIST) |
Authorized Official Contact | 6267107838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro-rehab Psychological Consultation & Treatment Services, Inc. 595 E Colorado Blvd Ste 307 Pasadena CA 91101-2021 Ph: (626) 710-7838 | Neuro-rehab Psychological Consultation & Treatment Services, Inc. 595 E Colorado Blvd Ste 307 Pasadena CA 91101-2021 Ph: (626) 710-7838 |
NPI Number | 1164803136 |
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Provider Enumeration Date | 06/15/2015 |
Last Update Date | 10/11/2023 |
Certification Date | 10/11/2023 |
Medicare PECOS PAC ID | 4183938434 |
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Medicare Enrollment ID | O20150731014718 |
Identifier | Type | State | Issuer |
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1164803136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TR0400X | Psychologist - Rehabilitation | 25089 (California) | Primary |
Provider Name | Mona Mikael |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588862536 PECOS PAC ID: 0648417089 Enrollment ID: I20130502000436 |
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