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NPI Code Detail

MEDICARE: JOSHUA SCOTT VISPERAS

MEDICARE:   JOSHUA SCOTT VISPERAS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033392790
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA SCOTT VISPERAS
Provider Business Mailing Address
First Line : 784 WARRING DR APT 3
Second Line :
City : SAN JOSE
State : CA
Zip : 95123-2857
Country : US
Telephone Number : 408-206-5004
Fax Number :
Provider Business Practice Location Address
First Line : 784 WARRING DR APT 3
Second Line :
City : SAN JOSE
State : CA
Zip : 95123-2857
Country : US
Telephone Number : 408-206-5004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2007
Last Update Date : 12/17/2007

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Directions to “ JOSHUA SCOTT VISPERAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.