Soto, Maricela A

Soto, Maricela A is an individual health care provider with primary practice located at 69175 Ramon Rd Ste A , Cathedral City CA 92234-3344. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Soto, Maricela A can be contacted via phone (760) 321-6776.

Contact Information

Primary practice address
69175 Ramon Rd Ste A Cathedral City CA 92234-3344
Phone: (760) 321-6776
Fax: (858) 634-6956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 71006953 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 19456 California

Profile Details

NPI number 1477565091
LBN Legal business name Soto, Maricela A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 15th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477565091 NPPES
Illinois Other 71006953 PSYCHOLOGIST LISCENSE

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