| Center For Therapeutic Alliance | |
|
625 14th St Suite B Paso Robles CA 93446-2285 | |
| (805) 876-5413 | |
| (805) 876-5412 |
| Full Name | Center For Therapeutic Alliance |
|---|---|
| Speciality | Psychologist |
| Location | 625 14th St, Paso Robles, California |
| Authorized Official Name and Position | Patricia M Glickman (PARTNER) |
| Authorized Official Contact | 8056108729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Therapeutic Alliance 625 14th St Suite B Paso Robles CA 93446-2285 Ph: (805) 876-5413 | Center For Therapeutic Alliance 625 14th St Suite B Paso Robles CA 93446-2285 Ph: (805) 876-5413 |
| NPI Number | 1992107007 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992107007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC49152 (California) | Secondary |
| 103T00000X | Psychologist | PSY26358 (California) | Primary |
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