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1518369354

NPI Code Detail

MEDICARE: DR. TEMPERANCE LOUISE CERVANTES PHD

MEDICARE: DR. TEMPERANCE LOUISE CERVANTES PHD

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	37333	TX
2	103TB0200X	Cognitive & Behavioral Psychologist	37333	TX
3	103TC2200X	Clinical Child & Adolescent Psychologist	37333	TX
4	103TM1800X	Intellectual & Developmental Disabilities Psychologist	37333	TX
5	103TS0200X	School Psychologist	70552	TX
6	103TC0700X	Clinical Psychologist	37333	TX

General Provider Information

NPI Number	:	1518369354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEMPERANCE LOUISE CERVANTES PHD

Provider Business Mailing Address
First Line	:	11163 LA QUINTA PL STE B100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5258
Country	:	US
Telephone Number	:	915-201-2606
Fax Number	:

Provider Business Practice Location Address
First Line	:	11163 LA QUINTA PL STE B100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5258
Country	:	US
Telephone Number	:	915-201-2606
Fax Number	:

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

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	12/09/2024

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Directions to “ DR. TEMPERANCE LOUISE CERVANTES PHD” Practice Location

Language	Start Address	Practice Location

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