| Julie Goalwin, Ph.d. A Psychological Corporation | |
|
115 Pine Ave Ste 640 Long Beach CA 90802-4452 | |
| (562) 364-8587 | |
| (562) 364-8588 |
| Full Name | Julie Goalwin, Ph.d. A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 115 Pine Ave Ste 640, Long Beach, California |
| Authorized Official Name and Position | Julie Goalwin (OWNER) |
| Authorized Official Contact | 5623648587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Goalwin, Ph.d. A Psychological Corporation 115 Pine Ave Ste 640 Long Beach CA 90802-4452 Ph: (562) 364-8587 | Julie Goalwin, Ph.d. A Psychological Corporation 115 Pine Ave Ste 640 Long Beach CA 90802-4452 Ph: (562) 364-8587 |
| NPI Number | 1003448218 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 9638507098 |
|---|---|
| Medicare Enrollment ID | O20200408004753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003448218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Goalwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659539526 PECOS PAC ID: 2961470893 Enrollment ID: I20040920000367 |
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