Credidio, Vivian Fernandez
Credidio, Vivian Fernandez is an individual health care provider with primary practice located at 806 Manhattan Beach Bl Ste 207, Manhattan Beach CA 90266. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Credidio, Vivian Fernandez can be contacted via phone (310) 376-3388.Contact Information
Primary practice address
806 Manhattan Beach Bl Ste 207
Manhattan Beach CA 90266
Phone: (310) 376-3388
Fax: (310) 372-0198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10441 | California |
Profile Details
| NPI number | 1992883037 |
|---|---|
| LBN Legal business name | Credidio, Vivian Fernandez |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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