| Root Group Psychological Corporation | |
|
27943 Seco Canyon Rd # 431 Santa Clarita CA 91350-3872 | |
| (818) 212-4693 | |
| Not Available |
| Full Name | Root Group Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 27943 Seco Canyon Rd # 431, Santa Clarita, California |
| Authorized Official Name and Position | Madison Randolph (CEO) |
| Authorized Official Contact | 6613880384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Group Psychological Corporation 27943 Seco Canyon Rd # 431 Santa Clarita CA 91350-3872 Ph: () - | Root Group Psychological Corporation 27943 Seco Canyon Rd # 431 Santa Clarita CA 91350-3872 Ph: (818) 212-4693 |
| NPI Number | 1265291819 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265291819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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