| Augustine Provencio, MS | |
|
1339 20th St, Santa Monica, CA 90404-2033 | |
| (310) 829-8708 | |
| Not Available |
| Full Name | Augustine Provencio |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1339 20th St, Santa Monica, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629810270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Augustine Provencio, MS 2779 Goldenrod Ct, Merced, CA 95340-2772 Ph: (209) 756-2632 | Augustine Provencio, MS 1339 20th St, Santa Monica, CA 90404-2033 Ph: (310) 829-8708 |
Dr. Katja D Pohl, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2730 Wilshire Blvd, Suite 600, Santa Monica, CA 90403 Phone: 310-709-4582 | |
Steven Joseph Shoptaw, M.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 Fax: 310-206-0209 | |
Zecharia Emanuel Oren, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 2nd St Ste 201, Santa Monica, CA 90403 Phone: 310-808-4510 | |
Dr. Myrna Ann Silton-goldstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 Wilshire Blvd Ste 306, Santa Monica, CA 90401 Phone: 310-395-4961 Fax: 310-260-1181 | |
Dr. Daun Elaine Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 506 Santa Monica Blvd, Suite 314, Santa Monica, CA 90401 Phone: 310-395-3895 Fax: 310-459-4153 | |
Dr. Erin Margolis, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1247 7th St Ste 200, Santa Monica, CA 90401 Phone: 310-926-8282 | |
Dr. Timothy Kenji Wong, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405 Phone: 310-845-6720 |