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NPI Code Detail

MEDICARE: MRS. TERESA CALDERON MS

MEDICARE: MRS. TERESA CALDERON MS
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
1106H00000XMarriage & Family Therapist121537CA

General Provider Information

NPI Number : 1093874166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESA CALDERON MS
Provider Business Mailing Address
First Line : 327 S K ST
Second Line :
City : TULARE
State : CA
Zip : 93274-5416
Country : US
Telephone Number : 559-688-2043
Fax Number :
Provider Business Practice Location Address
First Line : 327 S K ST
Second Line :
City : TULARE
State : CA
Zip : 93274-5416
Country : US
Telephone Number : 559-688-2043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 09/14/2020

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Directions to “ MRS. TERESA CALDERON MS” Practice Location

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