Spiritual Psychologist Pc | |
5655 Schooner Loop Discovery Bay CA 94505-9213 | |
(562) 331-0978 | |
(925) 384-2372 |
Full Name | Spiritual Psychologist Pc |
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Speciality | Psychologist |
Location | 5655 Schooner Loop, Discovery Bay, California |
Authorized Official Name and Position | Marie Beech (PRESIDENT) |
Authorized Official Contact | 5623310978 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spiritual Psychologist Pc Po Box 1873 Discovery Bay CA 94505-7873 Ph: (562) 331-0978 | Spiritual Psychologist Pc 5655 Schooner Loop Discovery Bay CA 94505-9213 Ph: (562) 331-0978 |
NPI Number | 1669906657 |
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Provider Enumeration Date | 04/17/2017 |
Last Update Date | 04/09/2021 |
Certification Date | 04/09/2021 |
Medicare PECOS PAC ID | 0941573604 |
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Medicare Enrollment ID | O20170831003082 |
Identifier | Type | State | Issuer |
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1669906657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Marie Beech |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316016793 PECOS PAC ID: 2567406986 Enrollment ID: I20050616000691 |
Ataraxy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Bixler Rd Unit 1308, Discovery Bay, CA 94505 Phone: 510-679-3110 |