Provider Demographics
NPI:1730712340
Name:PSYCHOLOGICAL CONSULTING SERVICES, INC.
Entity type:Organization
Organization Name:PSYCHOLOGICAL CONSULTING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEASTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-445-9763
Mailing Address - Street 1:237 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4710
Mailing Address - Country:US
Mailing Address - Phone:909-945-8894
Mailing Address - Fax:909-945-2855
Practice Address - Street 1:237 W 4TH ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4710
Practice Address - Country:US
Practice Address - Phone:909-945-8894
Practice Address - Fax:909-945-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty