| Psychwest, Clinical & Forensic Psychology, Inc. | |
|
1445 Butte House Rd Suite F Yuba City CA 95993-2749 | |
| (530) 751-1122 | |
| (530) 751-1122 |
| Full Name | Psychwest, Clinical & Forensic Psychology, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1445 Butte House Rd, Yuba City, California |
| Authorized Official Name and Position | Craig Edward West (PRESIDENT) |
| Authorized Official Contact | 5307511122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychwest, Clinical & Forensic Psychology, Inc. 1445 Butte House Rd Suite F Yuba City CA 95993-2749 Ph: (530) 751-1122 | Psychwest, Clinical & Forensic Psychology, Inc. 1445 Butte House Rd Suite F Yuba City CA 95993-2749 Ph: (530) 751-1122 |
| NPI Number | 1740670835 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Medicare PECOS PAC ID | 5799093985 |
|---|---|
| Medicare Enrollment ID | O20151008000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740670835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17789 (California) | Primary |
| 103TF0200X | Psychologist - Forensic | PSY17789 (California) | Secondary |
| Provider Name | Craig E West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871529610 PECOS PAC ID: 2668456393 Enrollment ID: I20040617001572 |
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