| Performance Psychology Center | |
|
2455 Bennett Valley Rd Ste B208 Santa Rosa CA 95404-5667 | |
| (707) 583-9663 | |
| Not Available |
| Full Name | Performance Psychology Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2455 Bennett Valley Rd Ste B208, Santa Rosa, California |
| Authorized Official Name and Position | Joseph Puentes (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 7075839663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Psychology Center 2455 Bennett Valley Rd Ste B208 Santa Rosa CA 95404-5667 Ph: () - | Performance Psychology Center 2455 Bennett Valley Rd Ste B208 Santa Rosa CA 95404-5667 Ph: (707) 583-9663 |
| NPI Number | 1982485413 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982485413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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