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Organization
RENASCENCE PSYCHOLOGICAL SERVICES, INC.
Active
Organization
RENASCENCE PSYCHOLOGICAL SERVICES, INC.
Active
Other names
Renascence Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA N SLOVER PSY.D (PRESIDENT)
(805) 591-4579
Entity
Organization
Contact information
Practice address
1209 PARK ST STE 301B, PASO ROBLES, CA 93446-7251
(805) 591-4579
Mailing address
1209 PARK ST STE 301B, PASO ROBLES, CA 93446-7251
(805) 591-4579
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366949943
NPI WHEN SOLE PROPRIETOR
—
Enumeration date
01/02/2023
Last updated
01/02/2023
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