Psycare, Inc. | |
2120 Thibodo Rd Vista CA 92081-7901 | |
(858) 569-5642 | |
(858) 467-7161 |
Full Name | Psycare, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 2120 Thibodo Rd, Vista, California |
Authorized Official Name and Position | Jenifer Ludwig (CREDENTIALING MANAGER) |
Authorized Official Contact | 8582791223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psycare, Inc. 4550 Kearny Villa Rd San Diego CA 92123-1578 Ph: (858) 279-1223 | Psycare, Inc. 2120 Thibodo Rd Vista CA 92081-7901 Ph: (858) 569-5642 |
NPI Number | 1841532298 |
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Provider Enumeration Date | 03/25/2013 |
Last Update Date | 03/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841532298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 52445 (California) | Primary |
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