| Wheldon Psychological Services, Inc. | |
|
1800 Fair Oaks Ave Ste C South Pasadena CA 91030-4778 | |
| (657) 226-1447 | |
| Not Available |
| Full Name | Wheldon Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1800 Fair Oaks Ave Ste C, South Pasadena, California |
| Authorized Official Name and Position | Kristen Wheldon (OWNER) |
| Authorized Official Contact | 6572261447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheldon Psychological Services, Inc. 1800 Fair Oaks Ave Ste C South Pasadena CA 91030-4778 Ph: () - | Wheldon Psychological Services, Inc. 1800 Fair Oaks Ave Ste C South Pasadena CA 91030-4778 Ph: (657) 226-1447 |
| NPI Number | 1770113334 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 7012338569 |
|---|---|
| Medicare Enrollment ID | O20200609001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770113334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kristen Wheldon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881901080 PECOS PAC ID: 8921429473 Enrollment ID: I20200609001489 |
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