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NPI Code Detail

MEDICARE: DR. ROSEMARY FREITAS VANDO PH.D

MEDICARE:  DR. ROSEMARY FREITAS VANDO  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
1103T00000XPsychologistPSY8372CA

General Provider Information

NPI Number : 1619175064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSEMARY FREITAS VANDO PH.D
Provider Business Mailing Address
First Line : 2621 CAPITOL AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5920
Country : US
Telephone Number : 916-443-1397
Fax Number : 916-443-1398
Provider Business Practice Location Address
First Line : 2621 CAPITOL AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5920
Country : US
Telephone Number : 916-443-1397
Fax Number : 916-443-1398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROSEMARY FREITAS VANDO PH.D” Practice Location

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