| Spencer Campbell Marriage And Family Therapy Inc | |
|
908 Taylorville Rd Ste 205 Grass Valley CA 95949-9632 | |
| (530) 334-0266 | |
| (530) 379-0142 |
| Full Name | Spencer Campbell Marriage And Family Therapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 Taylorville Rd Ste 205, Grass Valley, California |
| Authorized Official Name and Position | Spencer T Campbell (OWNER) |
| Authorized Official Contact | 5303340266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Campbell Marriage And Family Therapy Inc 908 Taylorville Rd Ste 205 Grass Valley CA 95949-9632 Ph: (530) 334-0266 | Spencer Campbell Marriage And Family Therapy Inc 908 Taylorville Rd Ste 205 Grass Valley CA 95949-9632 Ph: (530) 334-0266 |
| NPI Number | 1114552981 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Medicare PECOS PAC ID | 5597293340 |
|---|---|
| Medicare Enrollment ID | O20250108001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114552981 | NPI | - | NPPES |
| Provider Name | Spencer T Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982768313 PECOS PAC ID: 6204364052 Enrollment ID: I20250108001348 |
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