| Shannon Jauregui Hyde, MFT | |
|
874 8th St, Imperial Beach, CA 91932-2114 | |
| (619) 890-9627 | |
| Not Available |
| Full Name | Shannon Jauregui Hyde |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 874 8th St, Imperial Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083484752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 87377 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417409228 PECOS PAC ID: 3476446378 Enrollment ID: O20181219000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Jauregui Hyde, MFT 874 8th St, Imperial Beach, CA 91932-2114 Ph: (619) 890-9627 | Shannon Jauregui Hyde, MFT 874 8th St, Imperial Beach, CA 91932-2114 Ph: (619) 890-9627 |
Ms. Penelope Holstein Mercer, M.A., M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 257 Elder Ave, Imperial Beach, CA 91932 Phone: 619-316-2107 | |
Mr. Nicolas Montano, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1340 Imperial Beach Blvd, 204, Imperial Beach, CA 91932 Phone: 619-565-2650 Fax: 619-565-2656 | |
Mrs. Dorothy Mae Rumsey, MARRIAGE FAMILY THER Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1237 East Lane, Imperial Beach, CA 91932 Phone: 619-429-6506 | |
Miriam Levens Iosupovici, MSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Seacoast Drive, South, L, Imperial Beach, CA 91932 Phone: 619-429-5887 | |
Miss Marilu Carmen Feringa, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1340 Imperial Beach Blvd, 204, Imperial Beach, CA 91932 Phone: 619-565-2650 Fax: 619-565-2656 |