Provider Demographics
NPI:1134715311
Name:INLAND PACIFIC PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:INLAND PACIFIC PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-477-1688
Mailing Address - Street 1:10737 LAUREL STREET, SUITE 135
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCUAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-550-1550
Mailing Address - Fax:909-550-1545
Practice Address - Street 1:10737 LAUREL STREET, SUITE 135
Practice Address - Street 2:
Practice Address - City:RANCHO CUCUAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-550-1550
Practice Address - Fax:909-550-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty