Ffs Psychologist | |
303 E Vanderbilt Way San Bernardino CA 92415-0026 | |
(909) 388-0801 | |
(909) 890-0435 |
Full Name | Ffs Psychologist |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 303 E Vanderbilt Way, San Bernardino, California |
Authorized Official Name and Position | Casonya Thomas (DIRECTOR) |
Authorized Official Contact | 9093880801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ffs Psychologist 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | Ffs Psychologist 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 |
NPI Number | 1043416159 |
---|---|
Provider Enumeration Date | 06/25/2007 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043416159 | NPI | - | NPPES |
3600036A3 | Other | CA | MEDICAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
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