| Shift: A Psychological Corporation | |
|
4063 Birch St Ste 220 Newport Beach CA 92660-2241 | |
| (480) 329-0544 | |
| Not Available |
| Full Name | Shift: A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 4063 Birch St Ste 220, Newport Beach, California |
| Authorized Official Name and Position | David Kyle Bond (OWNER) |
| Authorized Official Contact | 9493293779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shift: A Psychological Corporation 3334 E Coast Hwy # 509 Corona Del Mar CA 92625-2328 Ph: (480) 329-0544 | Shift: A Psychological Corporation 4063 Birch St Ste 220 Newport Beach CA 92660-2241 Ph: (480) 329-0544 |
| NPI Number | 1134744147 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134744147 | NPI | - | NPPES |
| PSY31794 | Other | CA | PSYCHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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