| Dr. Nicole Chavez Psychological Services P.c. | |
|
427 E 17th St # Stf-1112 Costa Mesa CA 92627-3201 | |
| (949) 280-4685 | |
| Not Available |
| Full Name | Dr. Nicole Chavez Psychological Services P.c. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 427 E 17th St # Stf-1112, Costa Mesa, California |
| Authorized Official Name and Position | Nicole Chavez (CEO) |
| Authorized Official Contact | 9492804685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nicole Chavez Psychological Services P.c. 1555 Mesa Verde Dr E Apt 40k Costa Mesa CA 92626-5246 Ph: (949) 280-4685 | Dr. Nicole Chavez Psychological Services P.c. 427 E 17th St # Stf-1112 Costa Mesa CA 92627-3201 Ph: (949) 280-4685 |
| NPI Number | 1174261051 |
|---|---|
| Provider Enumeration Date | 05/21/2022 |
| Last Update Date | 05/21/2022 |
| Certification Date | 05/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174261051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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