Professional Services Associates A Professional Psychological Corporat | |
941 Spring St Ste 5 Placerville CA 95667-4546 | |
(530) 341-8772 | |
(530) 698-5241 |
Full Name | Professional Services Associates A Professional Psychological Corporat |
---|---|
Speciality | Psychologist |
Location | 941 Spring St Ste 5, Placerville, California |
Authorized Official Name and Position | Terry C Weyl (OWNER/DIRECTOR) |
Authorized Official Contact | 5303418772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Services Associates A Professional Psychological Corporat 941 Spring St Ste 5 Placerville CA 95667-4546 Ph: (530) 341-8772 | Professional Services Associates A Professional Psychological Corporat 941 Spring St Ste 5 Placerville CA 95667-4546 Ph: (530) 341-8772 |
NPI Number | 1255860854 |
---|---|
Provider Enumeration Date | 06/07/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255860854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6138 (California) | Primary |
106H00000X | Marriage & Family Therapist | 86919 (California) | Secondary |
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