| San Diego Neuropsychology Pc | |
|
4505 Manchester Suite 206 Encinitas CA 92024 | |
| (760) 944-9647 | |
| (760) 944-7491 |
| Full Name | San Diego Neuropsychology Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4505 Manchester, Encinitas, California |
| Authorized Official Name and Position | Lisa Anne Franklin (BILLING MANAGER) |
| Authorized Official Contact | 2164704677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Neuropsychology Pc 4505 Manchester Suite 206 Encinitas CA 92024 Ph: (760) 944-9647 | San Diego Neuropsychology Pc 4505 Manchester Suite 206 Encinitas CA 92024 Ph: (760) 944-9647 |
| NPI Number | 1083205322 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 4688080443 |
|---|---|
| Medicare Enrollment ID | O20210303001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083205322 | NPI | - | NPPES |
| 1427171412 | Other | CA | NPI NUMBER |
| Provider Name | Mark Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427171412 PECOS PAC ID: 2860583408 Enrollment ID: I20070810000295 |
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