| Ipsychological Pc | |
|
6518 Lonetree Blvd Ste 152 Rocklin CA 95765-5874 | |
| (916) 975-4358 | |
| Not Available |
| Full Name | Ipsychological Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6518 Lonetree Blvd Ste 152, Rocklin, California |
| Authorized Official Name and Position | Elijah Meeker (OWNER) |
| Authorized Official Contact | 9169754358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipsychological Pc 1298 Antelope Creek Dr Unit 422 Roseville CA 95678-2282 Ph: (916) 975-4358 | Ipsychological Pc 6518 Lonetree Blvd Ste 152 Rocklin CA 95765-5874 Ph: (916) 975-4358 |
| NPI Number | 1043860661 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043860661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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