| Spectrum Cultural Institute Inc | |
|
1608 W Campbell Ave #313 Campbell CA 95008-1535 | |
| (530) 873-4543 | |
| (405) 247-1697 |
| Full Name | Spectrum Cultural Institute Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1608 W Campbell Ave, Campbell, California |
| Authorized Official Name and Position | Madeline M. Daniels (PSYCHOLOGIST) |
| Authorized Official Contact | 5308734543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Cultural Institute Inc 1608 West Campbell Ave #313 Campbell CA 95008-7300 Ph: (530) 873-4543 | Spectrum Cultural Institute Inc 1608 W Campbell Ave #313 Campbell CA 95008-1535 Ph: (530) 873-4543 |
| NPI Number | 1730461864 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730461864 | NPI | - | NPPES |
| PSY169270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY16927 (California) | Primary |
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