| Wise Psychology Services, Inc. | |
|
1108 Tamalpais Ave Ste A San Rafael CA 94901-3247 | |
| (415) 226-6154 | |
| Not Available |
| Full Name | Wise Psychology Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1108 Tamalpais Ave Ste A, San Rafael, California |
| Authorized Official Name and Position | Karen Wise (DIRECTOR) |
| Authorized Official Contact | 4152266154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Psychology Services, Inc. 1108 Tamalpais Ave Ste A San Rafael CA 94901-3247 Ph: (415) 226-6154 | Wise Psychology Services, Inc. 1108 Tamalpais Ave Ste A San Rafael CA 94901-3247 Ph: (415) 226-6154 |
| NPI Number | 1275394793 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275394793 | NPI | - | NPPES |
| 1700058294 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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