| Illume Psychology Incorporated | |
|
245 Kentucky Street Suite A Petaluma CA 94952 | |
| (707) 216-1612 | |
| Not Available |
| Full Name | Illume Psychology Incorporated |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 245 Kentucky Street, Petaluma, California |
| Authorized Official Name and Position | Larissa Laska-ruebusch (PRESIDENT) |
| Authorized Official Contact | 7072161612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illume Psychology Incorporated 245 Kentucky Street Suite A Petaluma CA 94952 Ph: (707) 216-1612 | Illume Psychology Incorporated 245 Kentucky Street Suite A Petaluma CA 94952 Ph: (707) 216-1612 |
| NPI Number | 1952070252 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952070252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
On The Margins Family Therapy & Psychological Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 245 Kentucky St Ste E, Petaluma, CA 94952 Phone: 415-212-9064 | |
Mothers Care Support Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 W El Rose Dr, Petaluma, CA 94952 Phone: 707-776-0959 | |
Dr. Patrick Macleamy & Associates Psychological Assessment Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Baywood Dr Fl 2, Petaluma, CA 94954 Phone: 707-241-4746 | |
Laura Kellison, Psy,.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Suite 4, Petaluma, CA 94952 Phone: 707-364-9388 | |
Child Therapy Institute Of Marin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Southpoint Blvd, Petaluma, CA 94954 Phone: 707-237-3644 | |
Wavelengths Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Petaluma Blvd N Ste A7, Petaluma, CA 94952 Phone: 714-312-1011 | |
Holistic Aba Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 1st St Apt 231, Petaluma, CA 94952 Phone: 707-484-2341 |