Eileen W Proctor, PHD is a
Psychologist - Clinical based in Greenwood, California. Eileen W Proctor is licensed to practice in California (license number PSY 12736) and her current practice location is
4513 Edgewater Dr, Greenwood, California. She can be reached at her office (for appointments etc.) via phone at
(619) 569-0938.
NPI number for Eileen W Proctor is 1720277536 and her current mailing address is 4513 Edgewater Dr, Greenwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720277536.
Healthcare Provider's Profile
| Full Name | Eileen W Proctor |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 4513 Edgewater Dr, Greenwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720277536
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Eileen W Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720277536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PSY 12736 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eileen W Proctor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Eileen W Proctor, PHD 4513 Edgewater Dr, Greenwood, CA 95635-9635 Ph: (619) 569-0938 | Eileen W Proctor, PHD 4513 Edgewater Dr, Greenwood, CA 95635-9635 Ph: (619) 569-0938 |
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