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Organization
PHOENIX PSYCHOLOGICAL GROUP, PC
Active
Organization
PHOENIX PSYCHOLOGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CHRISTINE BARRETT PSYD (DIRECTOR)
(805) 637-9997
Entity
Organization
Contact information
Practice address
1601 CARMEN DR, SUITE 211, CAMARILLO, CA 93010-3105
(805) 232-4148
Mailing address
35 W MAIN ST, SUITE B-368, VENTURA, CA 93001-2507
(805) 232-4148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21349
CA
Other
Enumeration date
10/15/2012
Last updated
08/05/2015
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