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NPI Code Detail

MEDICARE: DR. CAROL A FALENDER PH.D.

MEDICARE:  DR. CAROL A FALENDER  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
1103TC0700XClinical PsychologistPSY5703CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PSY5703OTHERCACALIF LIC

General Provider Information

NPI Number : 1689899858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL A FALENDER PH.D.
Provider Business Mailing Address
First Line : 1158 26TH ST
Second Line : SUITE 189
City : SANTA MONICA
State : CA
Zip : 90403-4621
Country : US
Telephone Number : 310-451-1236
Fax Number :
Provider Business Practice Location Address
First Line : 1158 26TH ST
Second Line : SUITE 189
City : SANTA MONICA
State : CA
Zip : 90403-4621
Country : US
Telephone Number : 310-451-1236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CAROL A FALENDER PH.D.” Practice Location

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