| Tammy A Ouellette Psy.d. Apc | |
|
1370 Brea Blvd Suite 210 Fullerton CA 92835-4125 | |
| (714) 732-1773 | |
| (714) 441-1761 |
| Full Name | Tammy A Ouellette Psy.d. Apc |
|---|---|
| Speciality | Psychologist |
| Location | 1370 Brea Blvd, Fullerton, California |
| Authorized Official Name and Position | Tammy Ann Ouellette (CLINICAL PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 7147321773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy A Ouellette Psy.d. Apc 1370 Brea Blvd Suite 210 Fullerton CA 92835-4125 Ph: (714) 732-1773 | Tammy A Ouellette Psy.d. Apc 1370 Brea Blvd Suite 210 Fullerton CA 92835-4125 Ph: (714) 732-1773 |
| NPI Number | 1528246394 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 1951484054 |
|---|---|
| Medicare Enrollment ID | O20080213000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528246394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY20145 (California) | Primary |
| Provider Name | Tammy A Ouellette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669432589 PECOS PAC ID: 7315020401 Enrollment ID: I20080213000182 |
| Provider Name | Monique Renee Sinclare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521646 PECOS PAC ID: 2769898857 Enrollment ID: I20210316001172 |
| Provider Name | Mehak Chopra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447854633 PECOS PAC ID: 7719373117 Enrollment ID: I20220412002479 |
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