Berenice Ibanez in San Ysidro - Psychologist
Berenice Ibanez - NPI 1740394386
Berenice Ibanez is a Psychologist in San Ysidro, California. Berenice Ibanez practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Berenice Ibanez is 1740394386. The last update date is 2012-06-04.
Berenice Ibanez's current location address is 4004 Beyer Blvd, San Ysidro, California. You can contact this provider via phone number 6194285561 and fax number 6192051979. The mailing address for Berenice Ibanez is 4004 Beyer Blvd, San Ysidro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Berenice Ibanez |
|---|---|
| Address | 4004 Beyer Blvd, San Ysidro, California |
| Phone Number | 6194285561 |
| Fax Number | 6192051979 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740394386 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2012-06-04 |
Provider Mailing Address Detail
| Address | 4004 Beyer Blvd |
|---|---|
| City | San Ysidro |
| State | California (CA) |
| Post Code | 921732007 |
| Phone Number | 6194285561 |
| Fax Number | 6192051979 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY22080 |
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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 Berenice Ibanez's 1740394386?
The Berenice Ibanez's NPI (National Provider Identifier) Number is 1740394386. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Berenice Ibanez's facilities are situated?
The facilities of Berenice Ibanez are physically located at the following address: 4004 Beyer Blvd, San Ysidro, CA, 921732007.
What is the Berenice Ibanez's specialty and taxonomy code?
The Berenice Ibanez's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1740394386 assigned to Berenice Ibanez?
The Berenice Ibanez was issued its 1740394386 on 2006-08-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Berenice Ibanez most recently updated or revised?
The information pertaining to Berenice Ibanez, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-04.