| Timothy Collister Phd & Associates, Inc | |
|
7024 Seville Ave Ste D Huntington Park CA 90255-4969 | |
| (323) 588-9600 | |
| Not Available |
| Full Name | Timothy Collister Phd & Associates, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7024 Seville Ave Ste D, Huntington Park, California |
| Authorized Official Name and Position | Timothy D Collister (PRESIDENT) |
| Authorized Official Contact | 3235889600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Collister Phd & Associates, Inc 1441 Huntington Dr South Pasadena CA 91030-4512 Ph: (323) 588-9600 | Timothy Collister Phd & Associates, Inc 7024 Seville Ave Ste D Huntington Park CA 90255-4969 Ph: (323) 588-9600 |
| NPI Number | 1407912462 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407912462 | NPI | - | NPPES |
| PSY128951 | Medicaid | CA | |
| PSY12950 | Medicaid | CA |
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