| Pacific Stone Psychology Corporation | |
|
264 Clovis Ave # 104 Clovis CA 93612-1115 | |
| (559) 777-9061 | |
| Not Available |
| Full Name | Pacific Stone Psychology Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 264 Clovis Ave # 104, Clovis, California |
| Authorized Official Name and Position | Heather Pedersen (OWNER / NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5597779061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Stone Psychology Corporation 264 Clovis Ave # 104 Clovis CA 93612-1115 Ph: () - | Pacific Stone Psychology Corporation 264 Clovis Ave # 104 Clovis CA 93612-1115 Ph: (559) 777-9061 |
| NPI Number | 1770167371 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Medicare PECOS PAC ID | 9830599844 |
|---|---|
| Medicare Enrollment ID | O20210614001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770167371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Heather A Pedersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083032635 PECOS PAC ID: 1658596317 Enrollment ID: I20191114000119 |
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