| The Therapy Couch By Jennyfer Peterson Psychologist Inc | |
|
235 Montana Del Lago Dr Rsm CA 92688-1361 | |
| (949) 394-4049 | |
| Not Available |
| Full Name | The Therapy Couch By Jennyfer Peterson Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 235 Montana Del Lago Dr, Rsm, California |
| Authorized Official Name and Position | Jenyffer Peterson (CEO) |
| Authorized Official Contact | 9493944049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Couch By Jennyfer Peterson Psychologist Inc 235 Montana Del Lago Dr Rsm CA 92688-1361 Ph: (949) 394-4049 | The Therapy Couch By Jennyfer Peterson Psychologist Inc 235 Montana Del Lago Dr Rsm CA 92688-1361 Ph: (949) 394-4049 |
| NPI Number | 1760173884 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 9931566775 |
|---|---|
| Medicare Enrollment ID | O20231222002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760173884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Jenyffer Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760734032 PECOS PAC ID: 1557645090 Enrollment ID: I20170301002357 |
Let Talk Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Via Serena, Rsm, CA 92688 Phone: 949-813-5222 |