| Wylie Center - A Psychological Corporation | |
|
4164 Brockton Ave Riverside CA 92501-3400 | |
| (951) 683-5193 | |
| (951) 683-6019 |
| Full Name | Wylie Center - A Psychological Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4164 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Mickey Rubinson (CEO) |
| Authorized Official Contact | 9516835193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wylie Center - A Psychological Corporation 4164 Brockton Ave Riverside CA 92501-3400 Ph: (951) 683-5193 | Wylie Center - A Psychological Corporation 4164 Brockton Ave Riverside CA 92501-3400 Ph: (951) 683-5193 |
| NPI Number | 1669082590 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669082590 | NPI | - | NPPES |
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