| Josephine N Omlin, | |
|
1141 Lever Blvd, Stockton, CA 95206-2855 | |
| (209) 639-5925 | |
| Not Available |
| Full Name | Josephine N Omlin |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1141 Lever Blvd, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467018044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 144676 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine N Omlin, 1141 Lever Blvd, Stockton, CA 95206-2855 Ph: (209) 629-5925 | Josephine N Omlin, 1141 Lever Blvd, Stockton, CA 95206-2855 Ph: (209) 639-5925 |
Mrs. Cynthia Denise Aguilera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 |
Katherine Bailey, MA, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 |
Mrs. Taylere Louise Looney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 N California St, Stockton, CA 95202 Phone: 209-464-4524 |
Mr. Wayne A. Uecker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8834 |
Cynthia Fullwood-fleck, MFT, PCC Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8750 |
Davetta Jackson-young, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8863 Santa Maria Way, Stockton, CA 95210 Phone: 678-704-5213 |
Mr. Adam William Diestler, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1414 N California St, Stockton, CA 95202 Phone: 209-468-2385 |