| Palm Springs Neuropsychology | |
|
650 E Tahquitz Canyon Way Ste 2 Palm Springs CA 92262-6714 | |
| (541) 257-5533 | |
| Not Available |
| Full Name | Palm Springs Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 650 E Tahquitz Canyon Way Ste 2, Palm Springs, California |
| Authorized Official Name and Position | Julien J Guillaumot (OWNER) |
| Authorized Official Contact | 5412575533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Springs Neuropsychology Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Palm Springs Neuropsychology 650 E Tahquitz Canyon Way Ste 2 Palm Springs CA 92262-6714 Ph: (541) 257-5533 |
| NPI Number | 1831733195 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 02/07/2020 |
| Certification Date | 02/07/2020 |
| Medicare PECOS PAC ID | 2860822459 |
|---|---|
| Medicare Enrollment ID | O20200422002727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831733195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Julien Guillaumot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124079066 PECOS PAC ID: 3870516222 Enrollment ID: I20200422002847 |
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