| Tara Arnold Phd A Professional Psychological Corporation | |
|
5965 Village Way Suite E105 #424 San Diego CA 92130 | |
| (858) 361-6536 | |
| Not Available |
| Full Name | Tara Arnold Phd A Professional Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 5965 Village Way Suite E105 #424, San Diego, California |
| Authorized Official Name and Position | Tara P Arnold (PRESIDENT/CEO) |
| Authorized Official Contact | 8583616536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Arnold Phd A Professional Psychological Corporation 5965 Village Way Suite E105 #424 San Diego CA 92130 Ph: (858) 633-8250 | Tara Arnold Phd A Professional Psychological Corporation 5965 Village Way Suite E105 #424 San Diego CA 92130 Ph: (858) 361-6536 |
| NPI Number | 1891328290 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 2860822582 |
|---|---|
| Medicare Enrollment ID | O20200421001850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891328290 | NPI | - | NPPES |
| Provider Name | Tara Payel Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770967291 PECOS PAC ID: 0446501985 Enrollment ID: I20180924001279 |
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