| Gideon Psychology, Pc | |
|
1452 26th St Ste 106 Santa Monica CA 90404-3042 | |
| (626) 325-9321 | |
| Not Available |
| Full Name | Gideon Psychology, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1452 26th St Ste 106, Santa Monica, California |
| Authorized Official Name and Position | Quincee Gideon (PRESIDENT) |
| Authorized Official Contact | 6263259321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gideon Psychology, Pc 1137 2nd St Ste 216 Santa Monica CA 90403-5077 Ph: (626) 325-9321 | Gideon Psychology, Pc 1452 26th St Ste 106 Santa Monica CA 90404-3042 Ph: (626) 325-9321 |
| NPI Number | 1013492388 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013492388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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