Pathways To Wellness | |
2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 | |
(714) 432-9856 | |
(714) 432-7075 |
Full Name | Pathways To Wellness |
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Speciality | Psychologist - Clinical |
Location | 2845 Mesa Verde Dr E, Costa Mesa, California |
Authorized Official Name and Position | Stephenie Champlin (EXECUTIVE ASSISTANT &OFFICE MANAGER) |
Authorized Official Contact | 7144329856 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pathways To Wellness 2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 Ph: (714) 432-9856 | Pathways To Wellness 2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 Ph: (714) 432-9856 |
NPI Number | 1104029784 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104029784 | NPI | - | NPPES |
1396787156 | Other | CA | NPI FOR JUDY FLUOR RUNELS |
1205862224 | Other | CA | NPI FOR NANCY D YOUNG PHD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 20804 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY 11961 (California) | Primary |
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