Pl Wiz Psychology Inc | |
1427 21st St Apt A Santa Monica CA 90404-2970 | |
(310) 828-1332 | |
(310) 587-9206 |
Full Name | Pl Wiz Psychology Inc |
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Speciality | Psychologist |
Location | 1427 21st St Apt A, Santa Monica, California |
Authorized Official Name and Position | Patricia L Wisne (OWNER) |
Authorized Official Contact | 3108281332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pl Wiz Psychology Inc 1427 21st St Apt A Santa Monica CA 90404-2970 Ph: (310) 828-1332 | Pl Wiz Psychology Inc 1427 21st St Apt A Santa Monica CA 90404-2970 Ph: (310) 828-1332 |
NPI Number | 1790929495 |
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Provider Enumeration Date | 04/24/2009 |
Last Update Date | 04/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790929495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY6796 (California) | Primary |
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