| Your Space Therapy | |
|
22816 Shady Ln Tehachapi CA 93561-9501 | |
| (314) 686-1782 | |
| Not Available |
| Full Name | Your Space Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22816 Shady Ln, Tehachapi, California |
| Authorized Official Name and Position | Summer Papin (OWNER) |
| Authorized Official Contact | 3146861782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Space Therapy 22816 Shady Ln Tehachapi CA 93561-9501 Ph: (314) 686-1782 | Your Space Therapy 22816 Shady Ln Tehachapi CA 93561-9501 Ph: (314) 686-1782 |
| NPI Number | 1831822931 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831822931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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