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General NPI Number Information
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NPI Number | 1952656902
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Entity Type | Individual
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Provider Name | PATRICIA E. CELAYA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 678 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-5736
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Country | US
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Telephone | 619-662-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 374 E H ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-7484
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Country | US
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Telephone | 619-662-4100
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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