Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARLA BACK-MADRUGA, PHD
Active Sole ProprietorDR. CARLA BACK-MADRUGA, PHD is a Clinical Neuropsychologist healthcare provider located in PLAYA DEL REY, California. NPI 1073940086 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · PLAYA DEL REY, CA
Registration Details
- NPI Number
- 1073940086
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2013 (12.891574984123 yrs)
- Last Updated
- Oct 4, 2013
- License
-
PSY14950 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8055 W MANCHESTER AVESUITE 235PLAYA DEL REY, CA, 902937960Browse CA providers · Browse ZIP 90293
- Phone
- 3198279851
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.