Healthcare Provider Details
I. General information
NPI: 1235564691
Provider Name (Legal Business Name): AMBER CECELIA HUFF PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/04/2013
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4083 N PEACH AVE APT 165
FRESNO CA
93727-8405
US
IV. Provider business mailing address
7165 N ASTORIA DR
FRESNO CA
93722-2673
US
V. Phone/Fax
- Phone: 559-289-2465
- Fax:
- Phone: 559-289-2465
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY28342 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: