Organization
ILLUMINATING PSYCHOLOGICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INA J CREEKBAUM ED.D (OWNER)
(909) 856-5904
Entity
Organization
Contact information
Practice address
1650 SPRUCE ST STE 240, RIVERSIDE, CA 92507-7403
(951) 981-2383
(855) 595-2795
Mailing address
967 KENDALL DR STE A515, SAN BERNARDINO, CA 92407-4306
(951) 981-2383
(855) 595-2795
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/14/2025
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