| Spiritual Psychologist Pc | |
|
5655 Schooner Loop Discovery Bay CA 94505-9213 | |
| (562) 331-0978 | |
| (925) 384-2372 |
| Full Name | Spiritual Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5655 Schooner Loop, Discovery Bay, California |
| Authorized Official Name and Position | Marie Beech (PRESIDENT) |
| Authorized Official Contact | 5623310978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiritual Psychologist Pc Po Box 1873 Discovery Bay CA 94505-7873 Ph: (562) 331-0978 | Spiritual Psychologist Pc 5655 Schooner Loop Discovery Bay CA 94505-9213 Ph: (562) 331-0978 |
| NPI Number | 1669906657 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Medicare PECOS PAC ID | 0941573604 |
|---|---|
| Medicare Enrollment ID | O20170831003082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669906657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Marie Beech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316016793 PECOS PAC ID: 2567406986 Enrollment ID: I20050616000691 |
Ataraxy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Bixler Rd Unit 1308, Discovery Bay, CA 94505 Phone: 510-679-3110 |