| Stewart Psychological Wellness Group, Inc | |
|
3201 Wilshire Blvd Ste 320 Santa Monica CA 90403-2335 | |
| (310) 570-5342 | |
| Not Available |
| Full Name | Stewart Psychological Wellness Group, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3201 Wilshire Blvd Ste 320, Santa Monica, California |
| Authorized Official Name and Position | Karen Stewart (OWNER) |
| Authorized Official Contact | 3105705342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Psychological Wellness Group, Inc 3201 Wilshire Blvd Ste 320 Santa Monica CA 90403-2335 Ph: (310) 570-5342 | Stewart Psychological Wellness Group, Inc 3201 Wilshire Blvd Ste 320 Santa Monica CA 90403-2335 Ph: (310) 570-5342 |
| NPI Number | 1750004461 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 5597132860 |
|---|---|
| Medicare Enrollment ID | O20221031001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750004461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Marie Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952542136 PECOS PAC ID: 3971772104 Enrollment ID: I20110804000557 |
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