| Redlands Psychological Services | |
|
104 E Olive Ave Ste 100 Redlands CA 92373-5255 | |
| (909) 327-2735 | |
| (909) 327-2735 |
| Full Name | Redlands Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 104 E Olive Ave Ste 100, Redlands, California |
| Authorized Official Name and Position | Glenn Potts (OWNER/ PSYCHOLOGIST) |
| Authorized Official Contact | 9099044462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redlands Psychological Services 104 E Olive Ave Ste 100 Redlands CA 92373-5255 Ph: (909) 327-2735 | Redlands Psychological Services 104 E Olive Ave Ste 100 Redlands CA 92373-5255 Ph: (909) 327-2735 |
| NPI Number | 1669717922 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669717922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 23630 (California) | Primary |
| 103TP0814X | Psychologist - Psychoanalysis | PSY 23630 (California) | Secondary |
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