| Progeny Mental & Behavioral Health | |
|
17782 Cowan Ste A Irvine CA 92614-6041 | |
| (949) 722-7118 | |
| (949) 722-7119 |
| Full Name | Progeny Mental & Behavioral Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 17782 Cowan Ste A, Irvine, California |
| Authorized Official Name and Position | Cindy Capretz (VICE PRESIDENT) |
| Authorized Official Contact | 9496893604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progeny Mental & Behavioral Health 17782 Cowan Ste A Irvine CA 92614-6041 Ph: (949) 722-7118 | Progeny Mental & Behavioral Health 17782 Cowan Ste A Irvine CA 92614-6041 Ph: (949) 722-7118 |
| NPI Number | 1285152074 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285152074 | NPI | - | NPPES |
| 170002122 | Other | CA | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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