Organization · Type 2 NPI
Soper Family Psychiatry Medical Group
Medical Specialty Clinic/Center · Mckinleyville, CA
Practice location
1836 Central Ave Ste A
Mckinleyville, CA 95519-3667
Fax (707) 445-0581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Medical Specialty Clinic/Center Primary | 261QM2500X | G59380 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1699158634
Soper Family Psychiatry Medical Group's National Provider Identifier is 1699158634, issued on Jul 8, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Mckinleyville, CA. The record was last updated on Oct 16, 2024.