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NPI Code Detail

MEDICARE: DR. CLAUDIA E. CERDA PSY.D.

MEDICARE:  DR. CLAUDIA E. CERDA  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 PsychologistPSY17050CA
2103TC0700XClinical Psychologist17050CA

General Provider Information

NPI Number : 1437252400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAUDIA E. CERDA PSY.D.
Provider Business Mailing Address
First Line : 5588 N PALM AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-1913
Country : US
Telephone Number : 559-440-1004
Fax Number : 559-650-5599
Provider Business Practice Location Address
First Line : 5588 N PALM AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-1913
Country : US
Telephone Number : 559-440-1004
Fax Number : 559-650-5599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 04/28/2010

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