Organization
ACTION POTENTIAL PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EIDE PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
(206) 407-7930
Entity
Organization
Contact information
Practice address
858 S BARLOW LN, BISHOP, CA 93514-3144
(760) 920-6007
Mailing address
858 S BARLOW LN, BISHOP, CA 93514-3144
(760) 920-6007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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