| Erik Lande, Phd, A Professional Psychological Corporation | |
|
1200 Paseo Camarillo Ste 245 Camarillo CA 93010-6085 | |
| (805) 988-6197 | |
| Not Available |
| Full Name | Erik Lande, Phd, A Professional Psychological Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1200 Paseo Camarillo Ste 245, Camarillo, California |
| Authorized Official Name and Position | Erik Lande (PRESIDENT) |
| Authorized Official Contact | 8059886197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Lande, Phd, A Professional Psychological Corporation 1200 Paseo Camarillo Ste 245 Camarillo CA 93010-6085 Ph: (805) 988-6197 | Erik Lande, Phd, A Professional Psychological Corporation 1200 Paseo Camarillo Ste 245 Camarillo CA 93010-6085 Ph: (805) 988-6197 |
| NPI Number | 1972932481 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0648496125 |
|---|---|
| Medicare Enrollment ID | O20140717002361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972932481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY19202 (California) | Primary |
| Provider Name | Erik Shawn Lande |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982684486 PECOS PAC ID: 2163482670 Enrollment ID: I20041018001147 |
| Provider Name | Robert Allen Duff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083149769 PECOS PAC ID: 9537436183 Enrollment ID: I20170601002335 |
| Provider Name | Marina An Wischnack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861977662 PECOS PAC ID: 2264776004 Enrollment ID: I20181204003447 |
| Provider Name | Alexis Stanley-olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912315037 PECOS PAC ID: 7113269341 Enrollment ID: I20190508001810 |
| Provider Name | Holly George |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295156289 PECOS PAC ID: 7315394988 Enrollment ID: I20231103002896 |
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