| Weal Inc A Professional Psychological Corp | |
|
65 N Madison Ave Ste 707 Pasadena CA 91101-2046 | |
| (626) 817-6665 | |
| Not Available |
| Full Name | Weal Inc A Professional Psychological Corp |
|---|---|
| Speciality | Psychologist |
| Location | 65 N Madison Ave Ste 707, Pasadena, California |
| Authorized Official Name and Position | Richard Labrie (PRESIDENT) |
| Authorized Official Contact | 6267551825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weal Inc A Professional Psychological Corp 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: (626) 817-6665 | Weal Inc A Professional Psychological Corp 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: (626) 817-6665 |
| NPI Number | 1972040095 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3072885219 |
|---|---|
| Medicare Enrollment ID | O20170822003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972040095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY28600 (California) | Primary |
| Provider Name | Richard Labrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629403043 PECOS PAC ID: 4981976123 Enrollment ID: I20170823004056 |
| Provider Name | Caitlin La Brie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548643992 PECOS PAC ID: 1355752494 Enrollment ID: I20201123000645 |
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