Owens Valley Wellness

NPI #1295193720 in Bishop, California

Provider Information

NPI Number: 1295193720
Entity Type: Organization
Organization Name: Owens Valley Wellness
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 686 W LINE ST
City: Bishop
State: California
ZIP Code: 93514-3315
Phone: (760) 920-6210

Authorized Official

Name: DR. JACOB EIDE, PSY.D.
Title: CLINICAL PSYCHOLOGIST/OWNER
Phone: (760) 920-6210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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