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NPI Code Detail

MEDICARE: DR. SOCRATES HEUREAUX PSY.D.

MEDICARE: DR. SOCRATES HEUREAUX 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
1171M00000XCase Manager/Care CoordinatorF7555179CA
2373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1700377421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOCRATES HEUREAUX PSY.D.
Provider Business Mailing Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 213-500-0016
Fax Number :
Provider Business Practice Location Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 213-500-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2018
Last Update Date : 12/01/2025

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