|
| |
|
1405 Magnolia Ave Suite B Chico CA 95926-3226 | |
| (530) 894-3330 | |
| (530) 894-1770 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1405 Magnolia Ave, Chico, California |
| Authorized Official Name and Position | Bonnie L. Smith (MANAGER) |
| Authorized Official Contact | 5308943330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1405 Magnolia Ave Ste B Chico CA 95926-3226 Ph: (530) 894-3330 | 1405 Magnolia Ave Suite B Chico CA 95926-3226 Ph: (530) 894-3330 |
| NPI Number | 1316145774 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316145774 | NPI | - | NPPES |
| 1336141159 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G035751 (California) | Primary |
Tula Therapy By Emma Todd Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Connors Ct Ste C, Chico, CA 95926 Phone: 530-366-0755 | |
Sea Glass Therapy And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3359 Penzance Ave, Chico, CA 95973 Phone: 405-451-5330 | |