Shannon Lerach, Ph.d., Inc., A Psychological Corporation | |
243 N Highway 101 Ste 16 Solana Beach CA 92075-1167 | |
(619) 817-5320 | |
Not Available |
Full Name | Shannon Lerach, Ph.d., Inc., A Psychological Corporation |
---|---|
Speciality | Psychologist - Clinical |
Location | 243 N Highway 101 Ste 16, Solana Beach, California |
Authorized Official Name and Position | Shannon Lerach (OWNER) |
Authorized Official Contact | 6198175320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shannon Lerach, Ph.d., Inc., A Psychological Corporation 243 N Highway 101 Ste 16 Solana Beach CA 92075-1167 Ph: (619) 817-5320 | Shannon Lerach, Ph.d., Inc., A Psychological Corporation 243 N Highway 101 Ste 16 Solana Beach CA 92075-1167 Ph: (619) 817-5320 |
NPI Number | 1679288666 |
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Provider Enumeration Date | 01/16/2023 |
Last Update Date | 01/16/2023 |
Certification Date | 01/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679288666 | NPI | - | NPPES |
1396983748 | Medicaid | CA | |
1902947005 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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