Organization
FOOTHILLS PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRTRINA JONES (CREDENTIALING SUPERVISOR)
(909) 946-4222
Entity
Organization
Contact information
Practice address
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3782
(909) 946-4222
Mailing address
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3782
(909) 946-4222
(909) 946-8243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH4516
RAILROAD GROUP ID
CA
Enumeration date
11/18/2005
Last updated
02/09/2024
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