| Wellvity Health Group Ipa, A Psychology Corporation | |
|
622 E Santa Paula St Santa Paula CA 93060-2062 | |
| (085) 873-3324 | |
| Not Available |
| Full Name | Wellvity Health Group Ipa, A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 622 E Santa Paula St, Santa Paula, California |
| Authorized Official Name and Position | Karen Stuart Kelly (OFFICER) |
| Authorized Official Contact | 8058733324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellvity Health Group Ipa, A Psychology Corporation 622 E Santa Paula St Santa Paula CA 93060-2062 Ph: (085) 873-3324 | Wellvity Health Group Ipa, A Psychology Corporation 622 E Santa Paula St Santa Paula CA 93060-2062 Ph: (085) 873-3324 |
| NPI Number | 1659052132 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659052132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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