Krista Freece, PHD, PLLC | |
1630 E Main St, El Cajon, CA 92021-5204 | |
(619) 593-5100 | |
Not Available |
Full Name | Krista Freece |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1630 E Main St, El Cajon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528191699 | NPI | - | NPPES |
PSY27847 | Other | CA | BOARD OF PSYCHOLOGY |
6301014786 | Other | MI | BOARD OF PSYCHOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301014786 (Michigan) | Primary |
103G00000X | Clinical Neuropsychologist | PSY27847 (California) | Secondary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Krista Freece, PHD, PLLC 42180 Ford Rd, Suite 305, Canton, MI 48187-3673 Ph: (734) 981-3100 | Krista Freece, PHD, PLLC 1630 E Main St, El Cajon, CA 92021-5204 Ph: (619) 593-5100 |
Heidi Lynne Miller Brunetto, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 855 E Madison Ave, El Cajon, CA 92020 Phone: 619-440-2751 Fax: 858-633-4692 | |
Ana Marie Pilar Desoto, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Fesler St, Ste 205, El Cajon, CA 92020 Phone: 619-579-9346 Fax: 619-579-9304 | |
Anthony Odozi, Psychologist Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave, Suite 302, El Cajon, CA 92020 Phone: 619-442-5434 Fax: 619-442-5451 | |
Mr. Steven Reinhold Tess, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Fesler St., Ste. 205, El Cajon, CA 92020 Phone: 619-579-9346 Fax: 619-579-9304 | |
Miss Rachelle Louise Amini, PSY.D.., M.S.W. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1870 Cordell Ct Ste 101, El Cajon, CA 92020 Phone: 619-448-9700 | |
Dr. Judy Kay Matthews, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway, El Cajon, CA 92021 Phone: 619-466-3749 Fax: 619-466-3749 | |
Dr. Karen Lynn Durst, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 N Cuyamaca St, #206, El Cajon, CA 92020 Phone: 619-449-8703 Fax: 619-449-4612 |