Psychological Resource Associates | |
1627 Oak Ave Ste A Davis CA 95616-1072 | |
(530) 756-0555 | |
(530) 756-1368 |
Full Name | Psychological Resource Associates |
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Speciality | Psychologist - Group Psychotherapy |
Location | 1627 Oak Ave, Davis, California |
Authorized Official Name and Position | Dean Ames Dickerson (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 5307560555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychological Resource Associates 1627 Oak Ave Ste A Davis CA 95616-1072 Ph: (530) 756-0555 | Psychological Resource Associates 1627 Oak Ave Ste A Davis CA 95616-1072 Ph: (530) 756-0555 |
NPI Number | 1720081367 |
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Provider Enumeration Date | 05/27/2005 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720081367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP2701X | Psychologist - Group Psychotherapy | PSY6149 (California) | Primary |
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