| Sh Squared Cares | |
|
212 S Main St Ste 202 Templeton CA 93465-9350 | |
| (058) 369-2239 | |
| Not Available |
| Full Name | Sh Squared Cares |
|---|---|
| Speciality | Psychologist |
| Location | 212 S Main St Ste 202, Templeton, California |
| Authorized Official Name and Position | Stacy Lynn Hutton (PARTNER) |
| Authorized Official Contact | 8053692239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sh Squared Cares 212 S Main St Ste 202 Templeton CA 93465-9350 Ph: (058) 369-2239 | Sh Squared Cares 212 S Main St Ste 202 Templeton CA 93465-9350 Ph: (058) 369-2239 |
| NPI Number | 1245720960 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Medicare PECOS PAC ID | 8123373321 |
|---|---|
| Medicare Enrollment ID | O20180612000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245720960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY28777 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | SP25805 (California) | Secondary |
| Provider Name | Simone Kerstin Huls |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104360262 PECOS PAC ID: 4385926898 Enrollment ID: I20170118000832 |
| Provider Name | Stacy Lynn Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952737488 PECOS PAC ID: 5193094274 Enrollment ID: I20170705001722 |
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