| Tmh Psychotherapy Corporation | |
|
1605 Hope St 335 South Pasadena CA 91030-2628 | |
| (626) 509-9546 | |
| Not Available |
| Full Name | Tmh Psychotherapy Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1605 Hope St, South Pasadena, California |
| Authorized Official Name and Position | Tara Holmquist (PRESIDENT) |
| Authorized Official Contact | 6265099546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmh Psychotherapy Corporation Po Box 57253 Sherman Oaks CA 91413-2253 Ph: () - | Tmh Psychotherapy Corporation 1605 Hope St 335 South Pasadena CA 91030-2628 Ph: (626) 509-9546 |
| NPI Number | 1225563752 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 2062780323 |
|---|---|
| Medicare Enrollment ID | O20170610000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225563752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY27888 (California) | Primary |
| Provider Name | Tara Holmquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588926141 PECOS PAC ID: 9931496544 Enrollment ID: I20160926001843 |
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