Lara San-Pedro is a Psychologist in Fremont, California. Lara San-Pedro practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lara San-Pedro is 1790971000. The last update date is 2017-02-02.
Lara San-Pedro's current location address is 4266 Sedge St, Fremont, California. You can contact this provider via phone number 2093730884. The mailing address for Lara San-Pedro is 4266 Sedge St, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara San-Pedro |
|---|---|
| Address | 4266 Sedge St, Fremont, California |
| Phone Number | 2093730884 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1790971000 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2017-02-02 |
Provider Mailing Address Detail
| Address | 4266 Sedge St |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945551151 |
| Phone Number | 2093730884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY28229 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Lara San-Pedro's unique identification number?
The Lara San-Pedro has been assigned the NPI (National Provider Identifier) Number 1790971000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Lara San-Pedro?
The Lara San-Pedro is physically situated at 4266 Sedge St, in the city of Fremont, state of CA, with the postal code 945551151.
What is Lara San-Pedro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lara San-Pedro's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Lara San-Pedro receive the assignment of its 1790971000 from the Centers for Medicare & Medicaid Services?
The Lara San-Pedro was issued its 1790971000 by the Centers for Medicare & Medicaid Services on 2007-09-20.
As of what date were the details pertaining to Lara San-Pedro last refreshed?
The information related to the Lara San-Pedro, including its address, specialty, and other relevant details, was last updated on 2017-02-02.