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NPI Code Detail

MEDICARE: DR. ARLENE MARIELLE ALTOBELLI PSY.D.

MEDICARE: DR. ARLENE MARIELLE ALTOBELLI PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY17584CA
2103TC0700XClinical PsychologistPY7260FL

General Provider Information

NPI Number : 1124105432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARLENE MARIELLE ALTOBELLI PSY.D.
Provider Business Mailing Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number : 805-934-6385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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