Amy L Tackett, PHD | |
5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 | |
(925) 282-1778 | |
Not Available |
Full Name | Amy L Tackett |
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Gender | Female |
Speciality | Psychologist |
Location | 5222 Pirrone Ct Ste 101a, Salida, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144642042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 26063 (California) | Primary |
Entity Name | Pacific Coast Psychiatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383 |
Entity Name | Kings Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528489390 PECOS PAC ID: 3870813850 Enrollment ID: O20150514000666 |
Mailing Address | Practice Location Address |
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Amy L Tackett, PHD 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: () - | Amy L Tackett, PHD 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: (925) 282-1778 |
Roger J Carey, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5222 Pirrone Ct Ste 101a, Salida, CA 95368 Phone: 925-282-1778 Fax: 415-296-5299 | |
Dr. Jorge A Barragan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4643 Broadway, Salida, CA 95368 Phone: 209-543-3663 Fax: 209-543-3640 |