| Sunrise Psychological Services | |
|
729 Sunrise Ave Ste 101 Roseville CA 95661 | |
| (916) 782-3800 | |
| (916) 782-3820 |
| Full Name | Sunrise Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 729 Sunrise Ave Ste 101, Roseville, California |
| Authorized Official Name and Position | Stephen Gary Mcclure (PSYCHOLOGIST) |
| Authorized Official Contact | 9167823800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Psychological Services 729 Sunrise Ave Ste 101 Roseville CA 95661-4504 Ph: (916) 782-3800 | Sunrise Psychological Services 729 Sunrise Ave Ste 101 Roseville CA 95661 Ph: (916) 782-3800 |
| NPI Number | 1831685197 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831685197 | NPI | - | NPPES |
| OPL135720 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY13572 (California) | Primary |
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