Provider Demographics
NPI:1801006531
Name:PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SERVICES, INC
Other - Org Name:PACIFIC CLINICAL AND CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:ERHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:670-322-1925
Mailing Address - Street 1:PO BOX 5700
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-5556
Mailing Address - Country:US
Mailing Address - Phone:670-322-1925
Mailing Address - Fax:670-322-1926
Practice Address - Street 1:5700 CHRB
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-5556
Practice Address - Country:US
Practice Address - Phone:670-322-1925
Practice Address - Fax:670-322-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)