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NPI Code Detail

MEDICARE: DANIELLE NICOLE MORALES LEP

MEDICARE:   DANIELLE NICOLE MORALES  LEP
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
1103TS0200XSchool Psychologist4035CA

General Provider Information

NPI Number : 1992315477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICOLE MORALES LEP
Provider Business Mailing Address
First Line : 50 MIRA LOMA RD
Second Line :
City : ORINDA
State : CA
Zip : 94563-2332
Country : US
Telephone Number : 707-986-8599
Fax Number :
Provider Business Practice Location Address
First Line : 302 VILLAGE SQ
Second Line :
City : ORINDA
State : CA
Zip : 94563-2506
Country : US
Telephone Number : 925-386-6037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2020
Last Update Date : 08/09/2020

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Directions to “ DANIELLE NICOLE MORALES LEP” Practice Location

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