| University Of The Pacific | |
|
3601 Pacific Ave Psychology Department Stockton CA 95211-0110 | |
| (209) 946-2132 | |
| (209) 946-2284 |
| Full Name | University Of The Pacific |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3601 Pacific Ave, Stockton, California |
| Authorized Official Name and Position | Cris T. Clay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2099462132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of The Pacific 3601 Pacific Ave Psychology Department Stockton CA 95211-0110 Ph: (209) 946-2132 | University Of The Pacific 3601 Pacific Ave Psychology Department Stockton CA 95211-0110 Ph: (209) 946-2132 |
| NPI Number | 1669674446 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669674446 | NPI | - | NPPES |
| 9043 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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