Timothy Collister Phd, Inc. | |
7024 Seville Ave Ste D Huntington Park CA 90255-4969 | |
(323) 588-9600 | |
(323) 588-9696 |
Full Name | Timothy Collister Phd, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 7024 Seville Ave Ste D, Huntington Park, California |
Authorized Official Name and Position | Karla Elizabeth Perez (MFT INTERN) |
Authorized Official Contact | 6269149609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timothy Collister Phd, Inc. 13525 Tracy St Apt A Baldwin Park CA 91706-4766 Ph: (626) 813-9548 | Timothy Collister Phd, Inc. 7024 Seville Ave Ste D Huntington Park CA 90255-4969 Ph: (323) 588-9600 |
NPI Number | 1932224987 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1932224987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF51448 (California) | Primary |
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