| Psychological Enrichment Center | |
|
2900 Bristol St Suite A108 Costa Mesa CA 92626-5981 | |
| (714) 432-0042 | |
| Not Available |
| Full Name | Psychological Enrichment Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2900 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Paul Sullivan (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7144320042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Enrichment Center 2900 Bristol St Suite A108 Costa Mesa CA 92626-5981 Ph: (714) 432-0042 | Psychological Enrichment Center 2900 Bristol St Suite A108 Costa Mesa CA 92626-5981 Ph: (714) 432-0042 |
| NPI Number | 1942409255 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942409255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY18437 (California) | Primary |
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