Vitam Revivere Corporation | |
327 College St Ste 206 Woodland CA 95695-3484 | |
(916) 288-7484 | |
Not Available |
Full Name | Vitam Revivere Corporation |
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Speciality | Psychologist |
Location | 327 College St Ste 206, Woodland, California |
Authorized Official Name and Position | Donald Robert Siggins (PSYCHOLOGIST) |
Authorized Official Contact | 5305917284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vitam Revivere Corporation 327 College St Ste 206 Woodland CA 95695-3484 Ph: (916) 288-7484 | Vitam Revivere Corporation 327 College St Ste 206 Woodland CA 95695-3484 Ph: (916) 288-7484 |
NPI Number | 1164070009 |
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Provider Enumeration Date | 09/03/2019 |
Last Update Date | 09/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164070009 | NPI | - | NPPES |
1346665361 | Other | CA | NPI |
1760860100 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Brandy Liebscher, Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 2nd St, Woodland, CA 95695 Phone: 206-851-5425 | |
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Yolo County Health And Human Services Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W Main St, Suite C, Woodland, CA 95695 Phone: 530-406-4837 | |
Safe Harbor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Kentucky Ave, Woodland, CA 95695 Phone: 530-661-3213 | |
Yolo County Health And Human Services Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 N. Cottonwood Street, Suite 1500, Woodland, CA 95695 Phone: 530-666-8630 Fax: 530-666-8633 | |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lincoln Ave, Woodland, CA 95695 Phone: 530-661-1666 Fax: 530-661-1248 |