Healthcare Provider Details

I. General information

NPI: 1548646573
Provider Name (Legal Business Name): PAUL ROBERT FIERRO JR. M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 HARTNELL ST UNIT 3204
MONTEREY CA
93942-7035
US

IV. Provider business mailing address

PO BOX 3204
MONTEREY CA
93942-3204
US

V. Phone/Fax

Practice location:
  • Phone: 831-268-6328
  • Fax:
Mailing address:
  • Phone: 831-268-6328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: