| Owens Valley Wellness | |
|
686 W Line St Bishop CA 93514-3315 | |
| (760) 920-6210 | |
| Not Available |
| Full Name | Owens Valley Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 686 W Line St, Bishop, California |
| Authorized Official Name and Position | Jacob Eide (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7609206210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owens Valley Wellness 686 W Line St Bishop CA 93514-3315 Ph: (760) 920-6210 | Owens Valley Wellness 686 W Line St Bishop CA 93514-3315 Ph: (760) 920-6210 |
| NPI Number | 1295193720 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295193720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY27059 (California) | Primary |
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