| Wandering Collective Llc | |
|
5960 S Land Park Dr # 1194 Sacramento CA 95822-3313 | |
| (404) 895-6416 | |
| Not Available |
| Full Name | Wandering Collective Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5960 S Land Park Dr # 1194, Sacramento, California |
| Authorized Official Name and Position | Emily Fortney (OWNER) |
| Authorized Official Contact | 4048956416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandering Collective Llc 2514 Amelia Earhart Ave Sacramento CA 95834-4003 Ph: (404) 895-6416 | Wandering Collective Llc 5960 S Land Park Dr # 1194 Sacramento CA 95822-3313 Ph: (404) 895-6416 |
| NPI Number | 1679176937 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679176937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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