| Developmental Guidance Services Inc. | |
|
16560 Harbor Blvd Suite A Fountain Valley CA 92708-1336 | |
| (714) 437-7400 | |
| (714) 437-7410 |
| Full Name | Developmental Guidance Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 16560 Harbor Blvd, Fountain Valley, California |
| Authorized Official Name and Position | Philip F Newberg (PRESIDENT) |
| Authorized Official Contact | 5625379268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Guidance Services Inc. 17150 Newhope St Suite 507 Fountain Valley CA 92708-4250 Ph: (714) 437-7400 | Developmental Guidance Services Inc. 16560 Harbor Blvd Suite A Fountain Valley CA 92708-1336 Ph: (714) 437-7400 |
| NPI Number | 1497981054 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 0648309476 |
|---|---|
| Medicare Enrollment ID | O20100603000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497981054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY4593 (California) | Primary |
| Provider Name | Philip F Newberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457412579 PECOS PAC ID: 8729114764 Enrollment ID: I20100330000491 |
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