Psychsource | |
419 Main St Ste 414 Huntington Beach CA 92648-5199 | |
(714) 916-6668 | |
Not Available |
Full Name | Psychsource |
---|---|
Speciality | Social Worker - Clinical |
Location | 419 Main St Ste 414, Huntington Beach, California |
Authorized Official Name and Position | Elizabeth Valenzuela (CEO) |
Authorized Official Contact | 7149166668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychsource 419 Main St Ste 414 Huntington Beach CA 92648-5199 Ph: (714) 916-6668 | Psychsource 419 Main St Ste 414 Huntington Beach CA 92648-5199 Ph: (714) 916-6668 |
NPI Number | 1609387158 |
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Provider Enumeration Date | 10/23/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609387158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 70498 (California) | Primary |
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