Jodie Marie Knott, PHD | |
7872 Walker Street, Suite 200, La Palma, CA 90623 | |
(714) 490-3428 | |
(714) 224-3803 |
Full Name | Jodie Marie Knott |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 7872 Walker Street, La Palma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043244577 | NPI | - | NPPES |
PSY20647 | Other | CA | BOARD OF PSYCHOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY20647 (California) | Primary |
Entity Name | Jodie Knott, Phd Psychological Consulting, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063803393 PECOS PAC ID: 5799098885 Enrollment ID: O20150717002669 |
Mailing Address | Practice Location Address |
---|---|
Jodie Marie Knott, PHD Po Box 90125, Long Beach, CA 90809-0125 Ph: (800) 404-2353 | Jodie Marie Knott, PHD 7872 Walker Street, Suite 200, La Palma, CA 90623 Ph: (714) 490-3428 |
Jaime Cherise Kirchner, M.A., ED.S., PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8281 Walker St, La Palma, CA 90623 Phone: 714-220-4101 | |
Dollen Azzam, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8281 Walker St, La Palma, CA 90623 Phone: 714-231-6012 | |
Jessica Marie Schilling, MA, MS, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8281 Walker St, La Palma, CA 90623 Phone: 562-316-4187 |