| Riviera Psychology Group Inc | |
|
621 Chapala St Ste C Santa Barbara CA 93101-7010 | |
| (805) 377-3734 | |
| (805) 335-6856 |
| Full Name | Riviera Psychology Group Inc |
|---|---|
| Speciality | Psychologist |
| Location | 621 Chapala St Ste C, Santa Barbara, California |
| Authorized Official Name and Position | Lauren L Guy (CEO) |
| Authorized Official Contact | 8053773734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riviera Psychology Group Inc 621 Chapala St Ste C Santa Barbara CA 93101-7010 Ph: (805) 377-3734 | Riviera Psychology Group Inc 621 Chapala St Ste C Santa Barbara CA 93101-7010 Ph: (805) 377-3734 |
| NPI Number | 1548839129 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 1355746207 |
|---|---|
| Medicare Enrollment ID | O20210816003541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Guy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033304159 PECOS PAC ID: 9638393523 Enrollment ID: I20140616001725 |
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