| Talk Therapy Psychology Center, Corp. | |
|
5935 Cornerstone Ct W Suite 125 San Diego CA 92121-3737 | |
| (858) 205-2490 | |
| Not Available |
| Full Name | Talk Therapy Psychology Center, Corp. |
|---|---|
| Speciality | Counselor |
| Location | 5935 Cornerstone Ct W, San Diego, California |
| Authorized Official Name and Position | Seda Gragossian (PRESIDENT) |
| Authorized Official Contact | 8582052490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talk Therapy Psychology Center, Corp. 5935 Cornerstone Ct W Suite 125 San Diego CA 92121-3737 Ph: (858) 205-2490 | Talk Therapy Psychology Center, Corp. 5935 Cornerstone Ct W Suite 125 San Diego CA 92121-3737 Ph: (858) 205-2490 |
| NPI Number | 1013368141 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 09/08/2016 |
| Medicare PECOS PAC ID | 9436438785 |
|---|---|
| Medicare Enrollment ID | O20161109002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013368141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Seda Gragossian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548460835 PECOS PAC ID: 0345529699 Enrollment ID: I20161109002614 |
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