| Twca Inc. | |
|
3468 Mt Diablo Blvd Suite B203 Lafayette CA 94549-3957 | |
| (925) 283-3902 | |
| (707) 371-2433 |
| Full Name | Twca Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3468 Mt Diablo Blvd, Lafayette, California |
| Authorized Official Name and Position | Alissa E. Scanlin (VICE PRESIDENT) |
| Authorized Official Contact | 9252833902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twca Inc. 6 Lois Ln Lafayette CA 94549-3057 Ph: (925) 283-2421 | Twca Inc. 3468 Mt Diablo Blvd Suite B203 Lafayette CA 94549-3957 Ph: (925) 283-3902 |
| NPI Number | 1922130947 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 3274638499 |
|---|---|
| Medicare Enrollment ID | O20070417000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922130947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 20873 (California) | Primary |
| Provider Name | Alissa E Scanlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891807533 PECOS PAC ID: 8628074226 Enrollment ID: I20061004000294 |
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