Organization
HIGH DESERT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BAHRA LCSW (OWNER)
(714) 290-3009
Entity
Organization
Contact information
Practice address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(442) 327-9311
(442) 327-9315
Mailing address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(442) 327-9311
(442) 327-9315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/05/2019
Last updated
10/27/2020
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