Fernando Cordero, Ph.D.
Psychologist, Clinical in Santa Maria, CA. Individual provider (NPI-1).
NPI number1164594487
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164594487
- Entity type
- Individual (NPI-1)
- Name
- Fernando Cordero
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY11388 | CA | Yes |
Practice location
500 W Foster RdSanta Maria, CA 93455-3620
Phone 805-934-6380 · Fax 805-934-6381
Mailing address
1035 Brookside AveSanta Maria, CA 93455-3326
Phone 805-934-6380 · Fax 805-934-6381
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