| Prepare To Change, A Psychology Corporation | |
|
222 W Main St Suite 101 Tustin CA 92780-7720 | |
| (949) 275-8804 | |
| Not Available |
| Full Name | Prepare To Change, A Psychology Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 222 W Main St, Tustin, California |
| Authorized Official Name and Position | Larry Kuhn (PRESIDENT) |
| Authorized Official Contact | 9492758804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prepare To Change, A Psychology Corporation 2182 Avocado Dr Tustin CA 92782-8346 Ph: (949) 275-8804 | Prepare To Change, A Psychology Corporation 222 W Main St Suite 101 Tustin CA 92780-7720 Ph: (949) 275-8804 |
| NPI Number | 1144592346 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144592346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY24067 (California) | Primary |
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