| Empathic Pathways Psychology Inc. | |
|
1399 Real Way Ln Alpine CA 91901-3016 | |
| (619) 602-3464 | |
| Not Available |
| Full Name | Empathic Pathways Psychology Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1399 Real Way Ln, Alpine, California |
| Authorized Official Name and Position | Maila Elisa Wilson (THERAPIST) |
| Authorized Official Contact | 6196023464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empathic Pathways Psychology Inc. 1399 Real Way Ln Alpine CA 91901-3016 Ph: (619) 602-3464 | Empathic Pathways Psychology Inc. 1399 Real Way Ln Alpine CA 91901-3016 Ph: (619) 602-3464 |
| NPI Number | 1639954928 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3072024777 |
|---|---|
| Medicare Enrollment ID | O20250618004011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639954928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Maila Elisa Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891430666 PECOS PAC ID: 0244741940 Enrollment ID: I20250618004042 |
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