| Pacific Stone Psychology Corporation | |
|
264 Clovis Ave # 104 Clovis CA 93612-1115 | |
| (559) 777-9061 | |
| Not Available |
| Full Name | Pacific Stone Psychology Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 264 Clovis Ave # 104, Clovis, California |
| Authorized Official Name and Position | Heather Pedersen (OWNER / NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5597779061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Stone Psychology Corporation 264 Clovis Ave # 104 Clovis CA 93612-1115 Ph: () - | Pacific Stone Psychology Corporation 264 Clovis Ave # 104 Clovis CA 93612-1115 Ph: (559) 777-9061 |
| NPI Number | 1770167371 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Medicare PECOS PAC ID | 9830599844 |
|---|---|
| Medicare Enrollment ID | O20210614001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770167371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Heather A Pedersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083032635 PECOS PAC ID: 1658596317 Enrollment ID: I20191114000119 |
Quality Family Services - Perrin House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4165 E Perrin Rd, Clovis, CA 93619 Phone: 559-297-6893 | |
Damien Terronez Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Shaw Ave, Clovis, CA 93611 Phone: 559-495-5799 | |
Footsteps Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Shaw Ave Ste 115, Clovis, CA 93612 Phone: 559-825-1324 Fax: 559-408-5557 | |
Exodus Recovery, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 784 W Holland Ave, Hss Office And Community Room, Clovis, CA 93612 Phone: 559-538-1230 | |
Love Resilence Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1406 Gibson Ave, Clovis, CA 93611 Phone: 559-545-6485 | |
Healing Roots Family Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 5th St Ste A, Clovis, CA 93612 Phone: 559-586-6961 | |
Fwdiop Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Villa Ave Ste 106, Clovis, CA 93612 Phone: 559-355-0089 |