| Joseph Malancharuvil, Ph.d.,a Psych Corporation | |
|
2048 N Waterman Ave San Bernardino CA 92404-4835 | |
| (951) 347-3765 | |
| (909) 881-3765 |
| Full Name | Joseph Malancharuvil, Ph.d.,a Psych Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2048 N Waterman Ave, San Bernardino, California |
| Authorized Official Name and Position | Joseph M Malancharuvil (PSYCHOLOGIST) |
| Authorized Official Contact | 9513473765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Malancharuvil, Ph.d.,a Psych Corporation 2048 N Waterman Ave San Bernardino CA 92404-4835 Ph: (951) 347-3765 | Joseph Malancharuvil, Ph.d.,a Psych Corporation 2048 N Waterman Ave San Bernardino CA 92404-4835 Ph: (951) 347-3765 |
| NPI Number | 1699167098 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699167098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY8026 (California) | Primary |
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