Marina Bassili, | |
2124 Main St, Huntington Beach, CA 92648-2405 | |
(714) 536-0077 | |
Not Available |
Full Name | Marina Bassili |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 2124 Main St, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619319100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY18709 (California) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
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Marina Bassili, 2124 Main St, Huntington Beach, CA 92648-2405 Ph: (714) 536-0077 | Marina Bassili, 2124 Main St, Huntington Beach, CA 92648-2405 Ph: (714) 536-0077 |
Dr. Janet Lynn Sonne, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21378 Estepa Cir, Huntington Beach, CA 92648 Phone: 714-969-9377 Fax: 714-969-6445 | |
Dr. Pamela I Berg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16152 Beach Blvd, Suite 200, Huntington Beach, CA 92647 Phone: 714-841-6772 Fax: 714-841-6775 | |
Dr. Jerry George Soucy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16152 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-842-7060 Fax: 714-965-6220 | |
Ms. Kathryn Tinsley, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7755 Center Ave, Suite 1100, Huntington Beach, CA 92647 Phone: 714-270-9004 | |
Dr. Sylva Frock, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Main St., 250, Huntington Beach, CA 92648 Phone: 214-729-9797 | |
Dr. Marie Antoinette Mulherin, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7755 Center Ave, Suite 1100, Huntington Beach, CA 92647 Phone: 714-892-1985 Fax: 714-372-2239 | |
Dr. Erin Bray, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22001 Newport Cir, Huntington Beach, CA 92646 Phone: 949-646-8385 |