| Poly Therapist Psychology Corporation | |
|
15119 Horizon St Unit 9 Fontana CA 92336-5273 | |
| (512) 775-4743 | |
| Not Available |
| Full Name | Poly Therapist Psychology Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 15119 Horizon St Unit 9, Fontana, California |
| Authorized Official Name and Position | Manijeh Badiee (DIRECTOR) |
| Authorized Official Contact | 5127754743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poly Therapist Psychology Corporation 7182 Abigail Pl Fontana CA 92336-5752 Ph: (512) 775-4743 | Poly Therapist Psychology Corporation 15119 Horizon St Unit 9 Fontana CA 92336-5273 Ph: (512) 775-4743 |
| NPI Number | 1982390589 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982390589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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