| Psychological Resource Centers, Inc. | |
|
2150 E Tahquitz Canyon Way Suite 10 Palm Springs CA 92262-7045 | |
| (760) 322-5191 | |
| (760) 778-6984 |
| Full Name | Psychological Resource Centers, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2150 E Tahquitz Canyon Way, Palm Springs, California |
| Authorized Official Name and Position | Hugh Gordon Blount (SOLE PROPRIETOR) |
| Authorized Official Contact | 7603225191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Resource Centers, Inc. 2150 E Tahquitz Canyon Way Suite 10 Palm Springs CA 92262-7045 Ph: (760) 322-5191 | Psychological Resource Centers, Inc. 2150 E Tahquitz Canyon Way Suite 10 Palm Springs CA 92262-7045 Ph: (760) 322-5191 |
| NPI Number | 1205100393 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Medicare PECOS PAC ID | 6800059676 |
|---|---|
| Medicare Enrollment ID | O20120516000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205100393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY8495 (California) | Primary |
| Provider Name | Hugh Gordon Blount |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053499459 PECOS PAC ID: 1254594922 Enrollment ID: I20120516000305 |
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