| Capsychdr-a Psychological Corporation | |
|
30211 Avenida De Las Banderas Suite 200 Rancho Santa Margarita CA 92688 | |
| (949) 409-5075 | |
| Not Available |
| Full Name | Capsychdr-a Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 30211 Avenida De Las Banderas, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Heather Blake Kaplan-santos (PSYCHOLOGIST) |
| Authorized Official Contact | 9494095075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capsychdr-a Psychological Corporation 30211 Avenida De Las Banderas Suite 200 Rancho Santa Margarita CA 92688 Ph: (949) 409-5075 | Capsychdr-a Psychological Corporation 30211 Avenida De Las Banderas Suite 200 Rancho Santa Margarita CA 92688 Ph: (949) 409-5075 |
| NPI Number | 1578218590 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578218590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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