| Galina Buckhout, PSYD | |
|
7777 Fay Ave Ste 205, La Jolla, CA 92037-4324 | |
| (415) 843-1523 | |
| Not Available |
| Full Name | Galina Buckhout |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7777 Fay Ave Ste 205, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891978581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3664 (California) | Primary |
| Entity Name | Pure Autism Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Galina Buckhout, PSYD 7777 Fay Ave Ste 205, La Jolla, CA 92037-4324 Ph: (415) 843-1523 | Galina Buckhout, PSYD 7777 Fay Ave Ste 205, La Jolla, CA 92037-4324 Ph: (415) 843-1523 |
Andrea S Voehl, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 8950 Villa La Jolla Dr Ste C230, La Jolla, CA 92037 Phone: 925-282-1778 Fax: 415-296-5299 | |
Vanessa Tam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7855 Fay Ave, La Jolla, CA 92037 Phone: 619-953-7484 | |
Dr. E. Virginia Foster, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7848 Ivanhoe Ave, La Jolla, CA 92037 Phone: 858-699-1353 Fax: 858-551-2824 | |
Emily Rose Mccluskey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8578 Villa La Jolla Dr Apt 320, La Jolla, CA 92037 Phone: 201-994-9818 | |
Deborah Bothun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Prospect St Unit 102, La Jolla, CA 92037 Phone: 310-663-1311 | |
Ms. Maira Horta Moss, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7520 Eads Ave Ste 7, La Jolla, CA 92037 Phone: 858-444-5807 | |
Leakhena Heng Tappero, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr Dept 304, La Jolla, CA 92093 Phone: 858-534-3755 Fax: 858-534-2628 |