| Somerville Psych Consultation Inc. | |
|
201 W 4th St Suite 205 Claremont CA 91711 | |
| (626) 202-5550 | |
| (626) 270-7002 |
| Full Name | Somerville Psych Consultation Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 201 W 4th St, Claremont, California |
| Authorized Official Name and Position | Robert Connolly (PRESIDENT) |
| Authorized Official Contact | 6262025550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville Psych Consultation Inc. Po Box 1196 Claremont CA 91711 Ph: (626) 202-5550 | Somerville Psych Consultation Inc. 201 W 4th St Suite 205 Claremont CA 91711 Ph: (626) 202-5550 |
| NPI Number | 1720716525 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720716525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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