Kent Candelora in Glendale - Clinical

Kent Candelora - NPI 1770632317

Kent Candelora is a Clinical in Glendale, California. Kent Candelora practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kent Candelora is 1770632317. The last update date is 2011-12-30.

Kent Candelora's current location address is 1530 E Chevy Chase Dr, Glendale, California. You can contact this provider via phone number 8187900150 and fax number 8182437518. The mailing address for Kent Candelora is 1530 E Chevy Chase Dr, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent Candelora
Address 1530 E Chevy Chase Dr, Glendale, California
Phone Number 8187900150
Fax Number 8182437518
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1770632317
Provider Enumeration Date 2007-01-10
Last Updated Date 2011-12-30

Provider Mailing Address Detail

Address 1530 E Chevy Chase Dr
City Glendale
State California (CA)
Post Code 912064139
Phone Number 8187900150
Fax Number 8182437518

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY5341
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Kent Candelora

What is the unique provider identifier assigned to Kent Candelora?

The Kent Candelora has been issued the NPI (National Provider Identifier) 1770632317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kent Candelora's facilities are geographically located?

The facilities of Kent Candelora are physically situated at the following location: 1530 E Chevy Chase Dr, Glendale, CA, 912064139.

What is the Kent Candelora's area of specialization and corresponding taxonomy classification?

The Kent Candelora's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1770632317 assigned to Kent Candelora?

The Kent Candelora was issued its 1770632317 on 2007-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kent Candelora most recently updated or revised?

The details related to Kent Candelora, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-30.

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