| Intrinsically Healthy Psychological Services Inc | |
|
2575 E Perrin Ave Ste 110 Fresno CA 93720-5204 | |
| (209) 988-0801 | |
| Not Available |
| Full Name | Intrinsically Healthy Psychological Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2575 E Perrin Ave Ste 110, Fresno, California |
| Authorized Official Name and Position | Jennifer Soares (OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 2099880801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrinsically Healthy Psychological Services Inc 2084 E Rush Ave Fresno CA 93730-4700 Ph: (209) 988-0801 | Intrinsically Healthy Psychological Services Inc 2575 E Perrin Ave Ste 110 Fresno CA 93720-5204 Ph: (209) 988-0801 |
| NPI Number | 1356826515 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Medicare PECOS PAC ID | 3577999309 |
|---|---|
| Medicare Enrollment ID | O20200214000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356826515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Soares |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215161914 PECOS PAC ID: 4486080215 Enrollment ID: I20200305000411 |
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