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NPI Code Detail

MEDICARE: WHOLE PERSON PSYCHOLOGY, APC

MEDICARE: WHOLE PERSON PSYCHOLOGY, APC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1538858683
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLE PERSON PSYCHOLOGY, APC
Provider Business Mailing Address
First Line : 769 CENTER BLVD # 144
Second Line :
City : FAIRFAX
State : CA
Zip : 94930-1764
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 769 CENTER BLVD # 144
Second Line :
City : FAIRFAX
State : CA
Zip : 94930-1764
Country : US
Telephone Number : 415-286-5014
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : DR. DENISE RENYE
Credential :
Telephone Number : 415-286-5014
Provider Enumeration Date : 05/04/2023
Last Update Date : 03/01/2024

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Directions to “WHOLE PERSON PSYCHOLOGY, APC ” Practice Location

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