| Applied Psychological Health Inc | |
|
1224 10th St Ste 201a Coronado CA 92118-3420 | |
| (619) 770-7192 | |
| (619) 393-1770 |
| Full Name | Applied Psychological Health Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1224 10th St Ste 201a, Coronado, California |
| Authorized Official Name and Position | Maha Michelle Kabban-moses (PSYCHOLOGIST) |
| Authorized Official Contact | 6197707192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Psychological Health Inc 6816 Cibola Rd Ste 210 San Diego CA 92120-1707 Ph: (619) 770-7192 | Applied Psychological Health Inc 1224 10th St Ste 201a Coronado CA 92118-3420 Ph: (619) 770-7192 |
| NPI Number | 1548582364 |
|---|---|
| Provider Enumeration Date | 02/21/2010 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Medicare PECOS PAC ID | 8729115357 |
|---|---|
| Medicare Enrollment ID | O20100429000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548582364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY21837 (California) | Primary |
| Provider Name | Maha Kabban-moses |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780856286 PECOS PAC ID: 3779640008 Enrollment ID: I20090331000511 |
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