| Amelia Lugo Psychologist Inc | |
|
2512 Foothill Blvd La Crescenta CA 91214-3506 | |
| (818) 322-0075 | |
| Not Available |
| Full Name | Amelia Lugo Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2512 Foothill Blvd, La Crescenta, California |
| Authorized Official Name and Position | Amelia R Lugo (CEO) |
| Authorized Official Contact | 8183220075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Lugo Psychologist Inc 2512 Foothill Blvd La Crescenta CA 91214-3506 Ph: (818) 322-0075 | Amelia Lugo Psychologist Inc 2512 Foothill Blvd La Crescenta CA 91214-3506 Ph: (818) 322-0075 |
| NPI Number | 1255031522 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 0345767489 |
|---|---|
| Medicare Enrollment ID | O20250512002414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255031522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amelia R Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700364486 PECOS PAC ID: 6901204395 Enrollment ID: I20211015001683 |
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