Ms Elizabeth Zdradzinski, PSYD | |
1976 W Rose Street, Stockton, CA 95203 | |
(209) 425-1645 | |
Not Available |
Full Name | Ms Elizabeth Zdradzinski |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1976 W Rose Street, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760737241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY8520 (Florida) | Secondary |
103T00000X | Psychologist | PSY25566 (California) | Primary |
Entity Name | Family First Medical Care A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689066029 PECOS PAC ID: 8022338854 Enrollment ID: O20150519002006 |
Mailing Address | Practice Location Address |
---|---|
Ms Elizabeth Zdradzinski, PSYD 1976 W Rose Street, Stockton, CA 95203 Ph: (209) 425-1645 | Ms Elizabeth Zdradzinski, PSYD 1976 W Rose Street, Stockton, CA 95203 Ph: (209) 425-1645 |
Nicole Takla, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-4398 | |
Dr. Kangho Ang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-8546 | |
Susan Demotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1164 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-403-4403 | |
Dr. Robert Phil Park, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1305 Tommydon St, Stockton, CA 95210 Phone: 209-476-5211 | |
Dr. Jodie N Perez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 925-381-7887 | |
Dr. Steven Cartwright, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 S. Austin Road, Department Of State Hospitals-stockton, Stockton, CA 95215 Phone: 916-654-2351 | |
Dr. Melissa Lynn Keane, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5129 |