Psychology Center, Inc. | |
836 Prospect St Suite 2b La Jolla CA 92037-4213 | |
(650) 384-9164 | |
Not Available |
Full Name | Psychology Center, Inc. |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 836 Prospect St, La Jolla, California |
Authorized Official Name and Position | Johanna Molnar Warchola (PRESIDENT) |
Authorized Official Contact | 6503849164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychology Center, Inc. 836 Prospect St Suite 2b La Jolla CA 92037-4213 Ph: (650) 384-9164 | Psychology Center, Inc. 836 Prospect St Suite 2b La Jolla CA 92037-4213 Ph: (650) 384-9164 |
NPI Number | 1629201132 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 08/31/2009 |
Identifier | Type | State | Issuer |
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1629201132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY22211 (California) | Primary |
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