| Professional Services Associates A Professional Psychological Corporat | |
|
941 Spring St Ste 5 Placerville CA 95667-4546 | |
| (530) 341-8772 | |
| (530) 698-5241 |
| Full Name | Professional Services Associates A Professional Psychological Corporat |
|---|---|
| Speciality | Psychologist |
| Location | 941 Spring St Ste 5, Placerville, California |
| Authorized Official Name and Position | Terry C Weyl (OWNER/DIRECTOR) |
| Authorized Official Contact | 5303418772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Services Associates A Professional Psychological Corporat 941 Spring St Ste 5 Placerville CA 95667-4546 Ph: (530) 341-8772 | Professional Services Associates A Professional Psychological Corporat 941 Spring St Ste 5 Placerville CA 95667-4546 Ph: (530) 341-8772 |
| NPI Number | 1255860854 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255860854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6138 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 86919 (California) | Secondary |
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