| Reconnect Psychological Services | |
|
881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 | |
| (310) 713-9855 | |
| Not Available |
| Full Name | Reconnect Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 881 Alma Real Dr Ste 218, Pacific Palisades, California |
| Authorized Official Name and Position | Karol Darsa Nechushtan (PRESIDENT) |
| Authorized Official Contact | 3107139855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reconnect Psychological Services 881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 Ph: (310) 713-9855 | Reconnect Psychological Services 881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 Ph: (310) 713-9855 |
| NPI Number | 1295144756 |
|---|---|
| Provider Enumeration Date | 08/09/2014 |
| Last Update Date | 08/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295144756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY19847 (California) | Primary |
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