Dr Maria Jesus Alvarez, PHD | |
109 S Main St, Cloverdale, CA 95425-3724 | |
(323) 646-5884 | |
Not Available |
Full Name | Dr Maria Jesus Alvarez |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 109 S Main St, Cloverdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356538508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY21594 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Maria Jesus Alvarez, PHD Po Box 842, Cloverdale, CA 95425-0842 Ph: (323) 646-5884 | Dr Maria Jesus Alvarez, PHD 109 S Main St, Cloverdale, CA 95425-3724 Ph: (323) 646-5884 |
Lea Darya Queen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954 | |
Donna Raschke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-7820 | |
Eileen Denise Roberts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1123 S Cloverdale Blvd # 112, Cloverdale, CA 95425 Phone: 707-867-6635 | |
Virginia Grace-braun, Psychologist Medicare: Medicare Enrolled Practice Location: 225 Preston Dr, Cloverdale, CA 95425 Phone: 707-483-8013 |