Doctor Name: | VERONICA CARDENAS |
NPI Number: | 1598024572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY23660 |
Business Practice Address: | 949 Palm Ave Imperial Beach, CA - 919321503 |
Business Phone Number: | 6194293733 |
Business Fax Number: | 6194296728 |
Mailing Address: | 8950 Villa La Jolla Dr, Suite B122 (mc0993) LA JOLLA |
State: | CA |
Postal Code: | 920371714 |
Phone Number: | 8588227528 |
Fax Number: | 8588227514 |
NPI Enumeration Date: | 05/10/2012 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY23660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |