Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYDA VIVEROS
Active Sole ProprietorTYDA VIVEROS is a Licensed Genetic Counselor healthcare provider located in STOCKTON, California. NPI 1063946002 is currently active in the NPPES registry. Verify at CMS.
Licensed Genetic Counselor · STOCKTON, CA
Registration Details
- NPI Number
- 1063946002
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2017 (9.3498474247419 yrs)
- Last Updated
- Apr 17, 2017
- License
-
37052 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1111 N EL DORADO STSTOCKTON, CA, 952021305Browse CA providers · Browse ZIP 95202
- Phone
- 2099380228
- Fax
- 2099380281
- Primary Specialty
-
Licensed Genetic Counselor
167G00000X
Other Licensed Genetic Counselor Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MISS EN SORM | — | 1518076249 |
| DIVINA PALAFOX | LPT | 1912061995 |
| PROF. REMEDIOS AGUADA WALLACE | — | 1639294341 |
| MR. JOHN D SCHAEFFER | MFT | 1235256207 |
| MS. JANYCE KATHLEEN MULHERN | PSYCH. TECH. | 1811015191 |
| MR. PAUL DAVID WALLACE | — | 1114044799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.