Psychotherapy Institute Of Individual, Family & Community Development

NPI 1063565745 - Psychologist - 103TC0700X

NPI Details
NPI 1063565745
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WESLEY A WESLEY
Position VICE PRESIDENT
Phone (925) 777-9540
Fax (925) 757-9024
Practice Location
509 W 10TH ST
ANTIOCH CA, 94509-1653, US
Phone (925) 777-9540
Fax (925) 757-9024
Business Location
509 W 10TH ST
ANTIOCH CA, 94509-1653, US
Phone (925) 777-9540
Fax (925) 757-9024
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY15066
Remove 1063565745 NPI Number
 

According to our database, Psychotherapy Institute Of Individual, Family & Community Development NPI is 1063565745, taxonomy code is 103TC0700X and license number is PSY15066, license state is located at California. Psychotherapy Institute Of Individual, Family & Community Development physically located at 509 W 10th St, Antioch CA, 94509-1653. NPI Number 1033115704 has the healthcare provider type.

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1063565745 NPI number is provided on an as is basis without warranty of any kind. 1063565745 is maintained by the National Plan & Provider Enumeration System. The contents of Psychotherapy Institute Of Individual, Family & Community Development are for informational purposes only.