Provider Demographics
NPI:1194539148
Name:AFFILIATED PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:AFFILIATED PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:STYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-288-5061
Mailing Address - Street 1:6274 ADOBE RD
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-2650
Mailing Address - Country:US
Mailing Address - Phone:760-367-3290
Mailing Address - Fax:760-367-4867
Practice Address - Street 1:6274 ADOBE RD
Practice Address - Street 2:
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92277-2650
Practice Address - Country:US
Practice Address - Phone:760-367-3290
Practice Address - Fax:760-367-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty