| Well Street Psychological Inc. | |
|
100 S Imperial Hwy Anaheim CA 92807-3943 | |
| (714) 730-9355 | |
| (714) 730-9355 |
| Full Name | Well Street Psychological Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 S Imperial Hwy, Anaheim, California |
| Authorized Official Name and Position | Martin J Eaton (CEO/OWNER) |
| Authorized Official Contact | 7147309355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Street Psychological Inc. 100 S Imperial Hwy Anaheim CA 92807-3943 Ph: (714) 730-9355 | Well Street Psychological Inc. 100 S Imperial Hwy Anaheim CA 92807-3943 Ph: (714) 730-9355 |
| NPI Number | 1760936835 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760936835 | NPI | - | NPPES |
| PSY15533 | Other | CA | PSYCHOLOGIST LICENSE |
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