| Synergistic Psychological Services | |
|
17401 Irvine Blvd Suite J Tustin CA 92780-3038 | |
| (714) 734-4244 | |
| (714) 983-2333 |
| Full Name | Synergistic Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 17401 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Tammy Gay Cleary (PRESIDENT) |
| Authorized Official Contact | 7147344244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergistic Psychological Services 17401 Irvine Blvd Suite J Tustin CA 92780-3038 Ph: (714) 734-4244 | Synergistic Psychological Services 17401 Irvine Blvd Suite J Tustin CA 92780-3038 Ph: (714) 734-4244 |
| NPI Number | 1497038905 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Medicare PECOS PAC ID | 3274708698 |
|---|---|
| Medicare Enrollment ID | O20111214000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497038905 | NPI | - | NPPES |
| FH483A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 24393 (California) | Primary |
| Provider Name | Tammy G Cleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689822538 PECOS PAC ID: 8123298379 Enrollment ID: I20110826000357 |
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