| Susan Cook Josephson, Ph.d., Inc. | |
|
3 Pointe Dr Suite 205 Brea CA 92821-7624 | |
| (714) 529-4575 | |
| (714) 529-4575 |
| Full Name | Susan Cook Josephson, Ph.d., Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3 Pointe Dr, Brea, California |
| Authorized Official Name and Position | Susan Cook Josephson (PRESIDENT) |
| Authorized Official Contact | 7145294575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Cook Josephson, Ph.d., Inc. 3 Pointe Dr Suite 205 Brea CA 92821-7624 Ph: (714) 529-4575 | Susan Cook Josephson, Ph.d., Inc. 3 Pointe Dr Suite 205 Brea CA 92821-7624 Ph: (714) 529-4575 |
| NPI Number | 1649481862 |
|---|---|
| Provider Enumeration Date | 05/28/2007 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 5092934778 |
|---|---|
| Medicare Enrollment ID | O20140910002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649481862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY6970 (California) | Primary |
| Provider Name | Susan Cook Josephson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376754580 PECOS PAC ID: 8426277104 Enrollment ID: I20140910002553 |
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