Provider Demographics
NPI:1679207765
Name:ACO PSYCHOLOGY INC
Entity Type:Organization
Organization Name:ACO PSYCHOLOGY INC
Other - Org Name:ADELEINE CONANAN PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADELEINE
Authorized Official - Middle Name:CONANAN
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-436-4231
Mailing Address - Street 1:PO BOX 161247
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92176-1247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5230 CARROLL CANYON RD STE 316
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1781
Practice Address - Country:US
Practice Address - Phone:619-436-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty