| Suncoast Preparatory Academy | |
|
4761 E Hunter Ave Anaheim CA 92807-1940 | |
| (949) 994-6724 | |
| Not Available |
| Full Name | Suncoast Preparatory Academy |
|---|---|
| Speciality | Psychologist |
| Location | 4761 E Hunter Ave, Anaheim, California |
| Authorized Official Name and Position | Recel Casuncad (STUDENT SERVICES MANAGER) |
| Authorized Official Contact | 6618748675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Preparatory Academy 3857 Birch St # 297 Newport Beach CA 92660-2616 Ph: (661) 874-8675 | Suncoast Preparatory Academy 4761 E Hunter Ave Anaheim CA 92807-1940 Ph: (949) 994-6724 |
| NPI Number | 1043058043 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043058043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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