MEDICARE: MARIA U DARCY PH.D.

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
1	103TC1900X	Counseling Psychologist	PY7140	FL
2	103TC1900X	Counseling Psychologist	26246	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9004	OTHER	FL	BLUECROSSBLUESHIELD P #

General Provider Information

NPI Number	:	1205056181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA U DARCY PH.D.

Provider Business Mailing Address
First Line	:	4425 JAMBOREE RD
Second Line	:	SUITE 270
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3024
Country	:	US
Telephone Number	:	949-698-0590
Fax Number	:	407-408-6843

Provider Business Practice Location Address
First Line	:	4425 JAMBOREE RD
Second Line	:	SUITE 270
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3024
Country	:	US
Telephone Number	:	949-698-0590
Fax Number	:	407-408-6843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	03/03/2014

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Directions to “ MARIA U DARCY PH.D.” Practice Location

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