| Synde Acks, Psy.d, Professional Inc. | |
|
435 Petaluma Ave Ste 136 Sebastopol CA 95472-4273 | |
| (707) 387-0245 | |
| Not Available |
| Full Name | Synde Acks, Psy.d, Professional Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 435 Petaluma Ave Ste 136, Sebastopol, California |
| Authorized Official Name and Position | Cynthia Lynne Acks-stewart (OWNER) |
| Authorized Official Contact | 7074807119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synde Acks, Psy.d, Professional Inc. 435 Petaluma Ave Ste 136 Sebastopol CA 95472-4273 Ph: (707) 387-0245 | Synde Acks, Psy.d, Professional Inc. 435 Petaluma Ave Ste 136 Sebastopol CA 95472-4273 Ph: (707) 387-0245 |
| NPI Number | 1215622337 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 9638530660 |
|---|---|
| Medicare Enrollment ID | O20230807002067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215622337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cynthia Acks-stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205966728 PECOS PAC ID: 3274994207 Enrollment ID: I20230807002194 |
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