| Psychelogik Psychological, Inc. | |
|
2020 Forest Ave Ste 3 San Jose CA 95128-4805 | |
| (408) 409-3964 | |
| (408) 295-8818 |
| Full Name | Psychelogik Psychological, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2020 Forest Ave Ste 3, San Jose, California |
| Authorized Official Name and Position | Kate Young (OWNER) |
| Authorized Official Contact | 4084093964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychelogik Psychological, Inc. 2020 Forest Ave Ste 3 San Jose CA 95128-4805 Ph: (408) 409-3964 | Psychelogik Psychological, Inc. 2020 Forest Ave Ste 3 San Jose CA 95128-4805 Ph: (408) 409-3964 |
| NPI Number | 1912664178 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912664178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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