Organization
PSYCHOLOGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NOYES (BUSINESS ADMINISTRATOR)
(650) 521-7619
Entity
Organization
Contact information
Practice address
4153 EL CAMINO WAY STE A, PALO ALTO, CA 94306-4034
(650) 521-7619
Mailing address
858 ORANGE AVE, SUNNYVALE, CA 94087-1145
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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