| Pathways To Wellness | |
|
2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 | |
| (714) 432-9856 | |
| (714) 432-7075 |
| Full Name | Pathways To Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2845 Mesa Verde Dr E, Costa Mesa, California |
| Authorized Official Name and Position | Stephenie Champlin (EXECUTIVE ASSISTANT &OFFICE MANAGER) |
| Authorized Official Contact | 7144329856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Wellness 2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 Ph: (714) 432-9856 | Pathways To Wellness 2845 Mesa Verde Dr E Suite 8 Costa Mesa CA 92626-4858 Ph: (714) 432-9856 |
| NPI Number | 1104029784 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104029784 | NPI | - | NPPES |
| 1396787156 | Other | CA | NPI FOR JUDY FLUOR RUNELS |
| 1205862224 | Other | CA | NPI FOR NANCY D YOUNG PHD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 20804 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 11961 (California) | Primary |
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