| California Department Of Corrections And Rehabilitation | |
|
3000 West Cecil Avenue Delano CA 93216-6000 | |
| (661) 721-6300 | |
| Not Available |
| Full Name | California Department Of Corrections And Rehabilitation |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 3000 West Cecil Avenue, Delano, California |
| Authorized Official Name and Position | Diana B. Couto Da Silva (PSYCHOLOGIST) |
| Authorized Official Contact | 6617216300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Department Of Corrections And Rehabilitation 3000 West Cecil Avenue Delano CA 93216-6000 Ph: (661) 721-6300 | California Department Of Corrections And Rehabilitation 3000 West Cecil Avenue Delano CA 93216-6000 Ph: (661) 721-6300 |
| NPI Number | 1891030615 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891030615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | PSY22715 (California) | Primary |
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