| Southern California Institute Of Psychology, Inc. | |
|
5050 Palo Verde St Ste 128 Montclair CA 91763-2334 | |
| (323) 940-7749 | |
| (323) 389-9094 |
| Full Name | Southern California Institute Of Psychology, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5050 Palo Verde St Ste 128, Montclair, California |
| Authorized Official Name and Position | Michelle S Enriquez (PRESIDENT) |
| Authorized Official Contact | 3232079012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Institute Of Psychology, Inc. 2058 N Mills Ave # 112 Claremont CA 91711-2812 Ph: (323) 207-9012 | Southern California Institute Of Psychology, Inc. 5050 Palo Verde St Ste 128 Montclair CA 91763-2334 Ph: (323) 940-7749 |
| NPI Number | 1255139168 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 04/12/2025 |
| Certification Date | 04/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255139168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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