Provider Demographics
NPI:1962984013
Name:POINTER PSYCHOTHERAPY, INC
Entity type:Organization
Organization Name:POINTER PSYCHOTHERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:POINTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-439-7558
Mailing Address - Street 1:9402 PIER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7207
Mailing Address - Country:US
Mailing Address - Phone:949-439-7558
Mailing Address - Fax:
Practice Address - Street 1:17662 IRVINE BLVD STE 7
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3132
Practice Address - Country:US
Practice Address - Phone:949-439-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26036103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty