| Vienna Psychological Group, Inc. | |
|
464 E Bonita Ave Suite 11 San Dimas CA 91773-3144 | |
| (626) 709-3494 | |
| Not Available |
| Full Name | Vienna Psychological Group, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 464 E Bonita Ave, San Dimas, California |
| Authorized Official Name and Position | Nicole Marie Vienna (VICE PRESIDENT & CLINICAL DIRECTOR) |
| Authorized Official Contact | 9492903947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vienna Psychological Group, Inc. 464 E Bonita Ave Suite 11 San Dimas CA 91773-3144 Ph: (626) 709-3494 | Vienna Psychological Group, Inc. 464 E Bonita Ave Suite 11 San Dimas CA 91773-3144 Ph: (626) 709-3494 |
| NPI Number | 1740653963 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740653963 | NPI | - | NPPES |
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