| Family Friendly Psychological Group, P.c. | |
|
500 Coffee Rd Ste C Modesto CA 95355-4926 | |
| (209) 408-0896 | |
| Not Available |
| Full Name | Family Friendly Psychological Group, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 500 Coffee Rd Ste C, Modesto, California |
| Authorized Official Name and Position | Felicia M Agibi (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2094080896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Friendly Psychological Group, P.c. 2601 Oakdale Rd Ste H2, #171 Modesto CA 95355-2256 Ph: (209) 408-0896 | Family Friendly Psychological Group, P.c. 500 Coffee Rd Ste C Modesto CA 95355-4926 Ph: (209) 408-0896 |
| NPI Number | 1205502044 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 09/05/2021 |
| Certification Date | 09/05/2021 |
| Medicare PECOS PAC ID | 8426449000 |
|---|---|
| Medicare Enrollment ID | O20211216000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205502044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Felicia M Agibi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326547266 PECOS PAC ID: 0042573552 Enrollment ID: I20180416002069 |
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