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NPI Code Detail

MEDICARE: DR. GUADALUPE VASQUEZ PSY,D,

MEDICARE:  DR. GUADALUPE  VASQUEZ  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
1103T00000XPsychologistPSY 22825CA

General Provider Information

NPI Number : 1386982965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUADALUPE VASQUEZ PSY,D,
Provider Business Mailing Address
First Line : 516 W SHAW AVE
Second Line : 200
City : FRESNO
State : CA
Zip : 93704-2515
Country : US
Telephone Number : 559-221-2571
Fax Number : 559-221-2660
Provider Business Practice Location Address
First Line : 516 W SHAW AVE
Second Line : 200
City : FRESNO
State : CA
Zip : 93704-2515
Country : US
Telephone Number : 559-221-2571
Fax Number : 559-221-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2013
Last Update Date : 01/16/2013

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Directions to “ DR. GUADALUPE VASQUEZ PSY,D,” Practice Location

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