| Valley Psychological Group Inc. | |
|
2100 E St Bakersfield CA 93301-3808 | |
| (661) 327-4252 | |
| (661) 327-3409 |
| Full Name | Valley Psychological Group Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2100 E St, Bakersfield, California |
| Authorized Official Name and Position | Gary A Longwith (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6613274252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Psychological Group Inc. Po Box 10627 Bakersfield CA 93389-0627 Ph: (661) 327-4252 | Valley Psychological Group Inc. 2100 E St Bakersfield CA 93301-3808 Ph: (661) 327-4252 |
| NPI Number | 1881623080 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5799724340 |
|---|---|
| Medicare Enrollment ID | O20050504000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881623080 | NPI | - | NPPES |
| ZZZ10641Z | Other | CA | PTAN |
| Provider Name | Joseph Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770747529 PECOS PAC ID: 0749246478 Enrollment ID: I20041204000293 |
| Provider Name | Gary Alan Longwith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841229143 PECOS PAC ID: 9739129255 Enrollment ID: I20050510000802 |
| Provider Name | Bradley Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437381720 PECOS PAC ID: 6406164383 Enrollment ID: I20151120001326 |
| Provider Name | Shiangyin Wei |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033233168 PECOS PAC ID: 8527500180 Enrollment ID: I20240611001401 |
| Provider Name | Heidi Nicole Wolfson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871013193 PECOS PAC ID: 2062954555 Enrollment ID: I20240612001753 |
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