| Wellqor Psychological Services Of California, Pc | |
|
25060 Hancock Ave Ste 103-483 Murrieta CA 92562-5930 | |
| (844) 888-0355 | |
| Not Available |
| Full Name | Wellqor Psychological Services Of California, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 25060 Hancock Ave Ste 103-483, Murrieta, California |
| Authorized Official Name and Position | Raymond Shallbetter (PHD) |
| Authorized Official Contact | 7182686600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellqor Psychological Services Of California, Pc 135 Pinelawn Rd Ste 204n Melville NY 11747-3133 Ph: (844) 888-0355 | Wellqor Psychological Services Of California, Pc 25060 Hancock Ave Ste 103-483 Murrieta CA 92562-5930 Ph: (844) 888-0355 |
| NPI Number | 1093173742 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 6103122171 |
|---|---|
| Medicare Enrollment ID | O20160317000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093173742 | NPI | - | NPPES |
| Provider Name | Raymond J Shallbetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487831939 PECOS PAC ID: 7113162876 Enrollment ID: I20130328000504 |
| Provider Name | Patricia Katherine Grady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932566098 PECOS PAC ID: 6406151224 Enrollment ID: I20170404001420 |
| Provider Name | Jean Duranti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386936706 PECOS PAC ID: 4385904689 Enrollment ID: I20180206001435 |
| Provider Name | David Giella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083817951 PECOS PAC ID: 4880932086 Enrollment ID: I20190213003110 |
| Provider Name | Lucille Esralew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104982271 PECOS PAC ID: 8325949985 Enrollment ID: I20200713001348 |
| Provider Name | Anna Josie Swift |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528409307 PECOS PAC ID: 6507228103 Enrollment ID: I20230814003924 |
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