Organization
COMMUNITY COUNSELING SERVICES CHILD COUNSELOR A PROF CORP DEAN HADDOCK
Active
Other names
Lic Marriage &
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MCCOY DEAN HADDOCK PSY.D. (CEO)
(661) 326-8167
Entity
Organization
Contact information
Practice address
4900 CALIFORNIA AVE, 330-B, BAKERSFIELD, CA 93309-7024
(661) 326-8167
(661) 326-8221
Mailing address
PO BOX 82096, BAKERSFIELD, CA 93380-2096
(661) 326-8167
(661) 326-8221
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY 8536
CA
103TC0700X
Clinical Psychologist
Primary
PSY 8536
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 8536
CA
103TF0200X
Forensic Psychologist
PSY 8536
CA
103TH0100X
Health Service Psychologist
PSY 8536
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY 8536
CA
103TP0016X
Prescribing (Medical) Psychologist
PSY 8536
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 8536
CA
106H00000X
Marriage & Family Therapist
MI 13954
CA
Other
Enumeration date
05/17/2007
Last updated
04/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us