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NPI Code Detail

MEDICARE: AMBER CATHLEEN CARDINAL BA IN PSYCHOLOGY

MEDICARE:   AMBER CATHLEEN CARDINAL  BA IN PSYCHOLOGY
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
1225400000XRehabilitation PractitionerB7780877CA

General Provider Information

NPI Number : 1114124930
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER CATHLEEN CARDINAL BA IN PSYCHOLOGY
Provider Business Mailing Address
First Line : 3261 VIA GRANDE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2024
Country : US
Telephone Number : 925-565-6098
Fax Number :
Provider Business Practice Location Address
First Line : 3261 VIA GRANDE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2024
Country : US
Telephone Number : 925-565-6098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 07/08/2007

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Directions to “ AMBER CATHLEEN CARDINAL BA IN PSYCHOLOGY” Practice Location

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