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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOUNTAIN THERAPY COLLABORATIVE

Active Organization

MOUNTAIN THERAPY COLLABORATIVE is a Geriatric Psychologist organization located in SOUTH LAKE TAHOE, California. NPI 1053825505 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychologist · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1053825505
Provider Type
Organization
NPI Issued
Nov 20, 2017 (8.5486788371781 yrs)
Last Updated
Nov 20, 2017

Practice Information

Address
870 EMERALD BAY RD STE 303
SOUTH LAKE TAHOE, CA, 961509400
Browse CA providers · Browse ZIP 96150
Phone
4158060275
Fax
5306000063
Primary Specialty
Geriatric Psychologist
103TP2701X
Additional Specialty
Geriatric Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.