| Northern California Center For Integrative Psychotherapy, Ppc | |
|
1 Bodega Ave Ste 4 Petaluma CA 94952-2672 | |
| (707) 992-5015 | |
| Not Available |
| Full Name | Northern California Center For Integrative Psychotherapy, Ppc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1 Bodega Ave Ste 4, Petaluma, California |
| Authorized Official Name and Position | Carl Spitzer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4159992994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Center For Integrative Psychotherapy, Ppc 1 Bodega Ave Ste 4 Petaluma CA 94952-2672 Ph: (707) 992-5015 | Northern California Center For Integrative Psychotherapy, Ppc 1 Bodega Ave Ste 4 Petaluma CA 94952-2672 Ph: (707) 992-5015 |
| NPI Number | 1316527864 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316527864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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