| Pointer Psychotherapy, Inc | |
|
17662 Irvine Blvd Ste 7 Tustin CA 92780-3132 | |
| (949) 439-7558 | |
| Not Available |
| Full Name | Pointer Psychotherapy, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 17662 Irvine Blvd Ste 7, Tustin, California |
| Authorized Official Name and Position | Sara Pointer (OWNER) |
| Authorized Official Contact | 9494397558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pointer Psychotherapy, Inc 9402 Pier Dr Huntington Beach CA 92646-7207 Ph: (949) 439-7558 | Pointer Psychotherapy, Inc 17662 Irvine Blvd Ste 7 Tustin CA 92780-3132 Ph: (949) 439-7558 |
| NPI Number | 1962984013 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 2769721331 |
|---|---|
| Medicare Enrollment ID | O20190226000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962984013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY26036 (California) | Primary |
| Provider Name | Sara A Pointer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245493014 PECOS PAC ID: 1052544772 Enrollment ID: I20140505001353 |
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