| Redwood Psychology Center, Inc. | |
|
19375 Hwy 116 Monte Rio CA 95462 | |
| (707) 865-1200 | |
| Not Available |
| Full Name | Redwood Psychology Center, Inc. |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 19375 Hwy 116, Monte Rio, California |
| Authorized Official Name and Position | Antonio Madrid (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078651200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Psychology Center, Inc. Po Box 519 Monte Rio CA 95462-0519 Ph: (707) 865-1200 | Redwood Psychology Center, Inc. 19375 Hwy 116 Monte Rio CA 95462 Ph: (707) 865-1200 |
| NPI Number | 1902243330 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902243330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 110000330 (California) | Primary |
Russian River Counselors Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19375 Hwy. 116, Monte Rio, CA 95462 Phone: 707-865-1200 |