| Psychological Advances In Coping Education Inc | |
|
77564 Country Club Dr Ste 207 Palm Desert CA 92211-6248 | |
| (760) 404-0183 | |
| (714) 526-1602 |
| Full Name | Psychological Advances In Coping Education Inc |
|---|---|
| Speciality | Psychologist |
| Location | 77564 Country Club Dr Ste 207, Palm Desert, California |
| Authorized Official Name and Position | Timothy Lee Sams (PRESIDENT) |
| Authorized Official Contact | 7604040183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Advances In Coping Education Inc Po Box 13330 Palm Desert CA 92255-3330 Ph: (760) 404-0183 | Psychological Advances In Coping Education Inc 77564 Country Club Dr Ste 207 Palm Desert CA 92211-6248 Ph: (760) 404-0183 |
| NPI Number | 1952318586 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 04/27/2024 |
| Certification Date | 04/27/2024 |
| Medicare PECOS PAC ID | 3274596325 |
|---|---|
| Medicare Enrollment ID | O20041109000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952318586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| Provider Name | Timothy Lee Sams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912010885 PECOS PAC ID: 3971572504 Enrollment ID: I20040929001072 |
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