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NPI Code Detail

MEDICARE: CALEB BARCENAS

MEDICARE: CALEB BARCENAS
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
1103T00000XPsychologistPSY-005802AZ
2103G00000XClinical NeuropsychologistPSY-005802AZ

General Provider Information

NPI Number : 1972986750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALEB BARCENAS
Provider Business Mailing Address
First Line : 240 W THOMAS RD # 301
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4407
Country : US
Telephone Number : 602-406-6238
Fax Number : 602-230-4089
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3473
Fax Number : 602-406-4406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 09/24/2024

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Directions to “ CALEB BARCENAS ” Practice Location

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