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1396099438

NPI Code Detail

MEDICARE: DR. MARIVI ACUNA PSYD

MEDICARE: DR. MARIVI ACUNA PSYD

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	103T00000X	Psychologist	29929	CA
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	29929	CA
3	103T00000X	Psychologist	38256	TX
4	103TA0700X	Adult Development & Aging Psychologist	29929	CA
5	103TB0200X	Cognitive & Behavioral Psychologist	29929	CA
6	103TC0700X	Clinical Psychologist	29929	CA
7	103TC1900X	Counseling Psychologist	38256	TX
8	103TC1900X	Counseling Psychologist	29929	CA
9	103TF0000X	Family Psychologist	29929	CA
10	103TH0004X	Health Psychologist	38256	TX
11	103TH0004X	Health Psychologist	29929	CA
12	103TM1800X	Intellectual & Developmental Disabilities Psychologist	29929	CA
13	103TP2701X	Group Psychotherapy Psychologist	29929	CA
14	103TC0700X	Clinical Psychologist	38256	TX

General Provider Information

NPI Number	:	1396099438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIVI ACUNA PSYD

Provider Business Mailing Address
First Line	:	6521 SAUCON VALLEY DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-5453
Country	:	US
Telephone Number	:	310-625-5741
Fax Number	:	855-244-8954

Provider Business Practice Location Address
First Line	:	6521 SAUCON VALLEY DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-5453
Country	:	US
Telephone Number	:	310-625-5741
Fax Number	:	855-244-8954

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

Provider Enumeration Date	:	10/26/2012
Last Update Date	:	11/10/2022

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Directions to “ DR. MARIVI ACUNA PSYD” Practice Location

Language	Start Address	Practice Location

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.

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