DR. MARY CARDE


Address: 1572 Ensley Ave, Los Angeles, CA 90024-5325
Phone: 3107798513

DR. MARY CARDE (NPI# 1770100737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770100737
Entity Type Individual
Full Name DR. MARY CARDE
Credential PHD
Practice Address 1572 Ensley Ave
Los Angeles
CA 90024-5325
Practice Telephone 3107798513
Mailing Telephone 3107798513
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY5805 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1572 ENSLEY AVE
City LOS ANGELES
State CA
Zip Code 90024-5325

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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