| Phoenix Psychological Group, Pc | |
|
1601 Carmen Dr Suite 211 Camarillo CA 93010-3105 | |
| (805) 232-4148 | |
| Not Available |
| Full Name | Phoenix Psychological Group, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1601 Carmen Dr, Camarillo, California |
| Authorized Official Name and Position | Susan Christine Barrett (DIRECTOR) |
| Authorized Official Contact | 8056379997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychological Group, Pc 35 W Main St Suite B-368 Ventura CA 93001-2507 Ph: (805) 232-4148 | Phoenix Psychological Group, Pc 1601 Carmen Dr Suite 211 Camarillo CA 93010-3105 Ph: (805) 232-4148 |
| NPI Number | 1588917520 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 08/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588917520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY21349 (California) | Primary |
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