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NPI 1053517714

NPI 1053517714 : SERENA CYR PSY.D. : SANTA BARBARA, CA

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General NPI Number Information
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    NPI Number           |    1053517714
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    Entity Type          |    Individual 
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    Provider Name        |    SERENA CYR PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2007
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    Last Update Date     |    12/12/2022
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Provider Practice Location Address
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    Address Line         |    1221 STATE ST STE 12 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93101-2699
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    Country              |    US
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    Telephone            |    831-247-8278
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    486 BRAEMAR RANCH LN 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93109-1061
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    Country              |    US
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    Telephone            |    831-247-8278
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY32835
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    License Number State |    CA
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