| Prt Psychology, Inc. | |
|
2003 Carnegie Ln Redondo Beach CA 90278-5602 | |
| (323) 366-8067 | |
| (323) 488-9291 |
| Full Name | Prt Psychology, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2003 Carnegie Ln, Redondo Beach, California |
| Authorized Official Name and Position | Paul-roy Taylor (PRESIDENT) |
| Authorized Official Contact | 3233668067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prt Psychology, Inc. 440 N Barranca Ave # 1104 Covina CA 91723-1722 Ph: (323) 366-8067 | Prt Psychology, Inc. 2003 Carnegie Ln Redondo Beach CA 90278-5602 Ph: (323) 366-8067 |
| NPI Number | 1184256109 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184256109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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