| Woods Creek Psychological Group, Apc | |
|
103 S Forest Rd Sonora CA 95370-4895 | |
| (209) 533-1699 | |
| (209) 532-0699 |
| Full Name | Woods Creek Psychological Group, Apc |
|---|---|
| Speciality | Psychologist |
| Location | 103 S Forest Rd, Sonora, California |
| Authorized Official Name and Position | Susan Belle Day (PRESIDENT) |
| Authorized Official Contact | 2095331699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woods Creek Psychological Group, Apc 20235 Sommette Dr Sonora CA 95370-8245 Ph: (209) 532-7005 | Woods Creek Psychological Group, Apc 103 S Forest Rd Sonora CA 95370-4895 Ph: (209) 533-1699 |
| NPI Number | 1861851503 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 7618276825 |
|---|---|
| Medicare Enrollment ID | O20160421002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861851503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY23349 (California) | Primary |
| Provider Name | Susan B Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336463777 PECOS PAC ID: 7214067982 Enrollment ID: I20100608000197 |
| Provider Name | Xan C Devaney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730542846 PECOS PAC ID: 2365783495 Enrollment ID: I20190417002564 |
| Provider Name | Vanessa Lynn Spiteri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477998235 PECOS PAC ID: 2062631328 Enrollment ID: I20200422000612 |
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Tiffany Nath Lmft Marriage And Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 N Washington St Ste 1, Sonora, CA 95370 Phone: 209-743-3553 Fax: 209-533-3990 | |
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