| Summit Psychological Services, A Professional Psych | |
|
222 N Mountain Ave Ste 110b Upland CA 91786-5714 | |
| (909) 999-5220 | |
| (909) 781-2422 |
| Full Name | Summit Psychological Services, A Professional Psych |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 222 N Mountain Ave Ste 110b, Upland, California |
| Authorized Official Name and Position | Stephanie Johnson (MEMBER) |
| Authorized Official Contact | 7142644909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Psychological Services, A Professional Psych 222 N Mountain Ave Ste 110b Upland CA 91786-5714 Ph: (909) 999-5220 | Summit Psychological Services, A Professional Psych 222 N Mountain Ave Ste 110b Upland CA 91786-5714 Ph: (909) 999-5220 |
| NPI Number | 1285273706 |
|---|---|
| Provider Enumeration Date | 01/01/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285273706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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