| Psychological & Family Support Services, Inc | |
|
5400 Connecticut Ave Suite E La Mesa CA 91942-1213 | |
| (619) 589-0552 | |
| (800) 334-1041 |
| Full Name | Psychological & Family Support Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5400 Connecticut Ave, La Mesa, California |
| Authorized Official Name and Position | Stephen Papaleo (OWNER) |
| Authorized Official Contact | 6195890552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological & Family Support Services, Inc 1704 Guava Ln El Cajon CA 92020-8328 Ph: (619) 589-0552 | Psychological & Family Support Services, Inc 5400 Connecticut Ave Suite E La Mesa CA 91942-1213 Ph: (619) 589-0552 |
| NPI Number | 1881888725 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 4587732037 |
|---|---|
| Medicare Enrollment ID | O20081010000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881888725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY7515 (California) | Primary |
| Provider Name | Stephen Papaleo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598702029 PECOS PAC ID: 4880776939 Enrollment ID: I20080128000598 |
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