| Ella Davies Individual & Family Therapy, Inc | |
|
17752 Sky Park Cir Ste 245 Irvine CA 92614-4478 | |
| (949) 667-0854 | |
| Not Available |
| Full Name | Ella Davies Individual & Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17752 Sky Park Cir Ste 245, Irvine, California |
| Authorized Official Name and Position | Penelope Ruth Perrigo Davies (OWNER) |
| Authorized Official Contact | 9496670854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Davies Individual & Family Therapy, Inc 17752 Sky Park Cir Ste 245 Irvine CA 92614-4478 Ph: (949) 667-0854 | Ella Davies Individual & Family Therapy, Inc 17752 Sky Park Cir Ste 245 Irvine CA 92614-4478 Ph: (949) 667-0854 |
| NPI Number | 1437979424 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437979424 | NPI | - | NPPES |
| 1720541725 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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