Provider Demographics
NPI:1043400906
Name:PSYCHOLOGY RESOURCE CONSULTANTS
Entity Type:Organization
Organization Name:PSYCHOLOGY RESOURCE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PRATER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-403-3500
Mailing Address - Street 1:719 FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-6019
Mailing Address - Country:US
Mailing Address - Phone:626-403-3500
Mailing Address - Fax:626-403-3500
Practice Address - Street 1:719 FREMONT AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-6019
Practice Address - Country:US
Practice Address - Phone:626-403-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty