Unknown Individual – Psychologist, NPI 1356367403
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2120, Quebec Court, Modesto, Stanislaus County, California, 95356, United States
P. O. BOX 3365
MODESTO, CA 953560721
Phone: (760) 902-1767
Type: Mailing
2210, East McManus Drive, Palm Springs, Riverside County, California, 92262, United States
BOX 522
PALM SPRINGS, CA 922626529
Phone: (760) 902-1767
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95356)
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