Resilience Collective Psychology Group | |
1306 Roundhouse St Tulare CA 93274-7777 | |
(559) 509-9555 | |
Not Available |
Full Name | Resilience Collective Psychology Group |
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Speciality | Psychologist |
Location | 1306 Roundhouse St, Tulare, California |
Authorized Official Name and Position | Brandon C Mason (OWNER) |
Authorized Official Contact | 5595099555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resilience Collective Psychology Group 1306 Roundhouse St Tulare CA 93274-7777 Ph: (559) 509-9555 | Resilience Collective Psychology Group 1306 Roundhouse St Tulare CA 93274-7777 Ph: (559) 509-9555 |
NPI Number | 1609656339 |
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Provider Enumeration Date | 10/02/2023 |
Last Update Date | 10/02/2023 |
Certification Date | 09/30/2023 |
Medicare PECOS PAC ID | 2062869605 |
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Medicare Enrollment ID | O20231103001757 |
Identifier | Type | State | Issuer |
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1609656339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Brandon Clark Mason |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881815454 PECOS PAC ID: 1850449513 Enrollment ID: I20090507000104 |
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