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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CDCR

Active Organization

CDCR is a Psychologist organization located in IONE, California. NPI 1134558240 is currently active in the NPPES registry. Verify at CMS.

Psychologist · IONE, CA

Registration Details

NPI Number
1134558240
Provider Type
Organization
NPI Issued
Nov 8, 2013 (12.746511986494 yrs)
Last Updated
Nov 8, 2013
License
PSY18841 (CA)

Practice Information

Address
4001 HIGHWAY 104
IONE, CA, 95640
Browse CA providers · Browse ZIP 95640
Phone
2092744911
Fax
2092745147
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.