Organization
HAYNES PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC W HAYNES PSY.D. (PRESIDENT)
(424) 241-3549
Entity
Organization
Contact information
Practice address
25500 HAWTHORNE BLVD STE 1050, TORRANCE, CA 90505-6851
(424) 241-3549
Mailing address
25500 HAWTHORNE BLVD STE 1050, TORRANCE, CA 90505-6851
(424) 241-3549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB567941
MEDICAREPTAN
CA
Enumeration date
02/20/2026
Last updated
03/23/2026
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