Individual
DR. ALFREDO M AMEZAGA JR.
Active
Individual
DR. ALFREDO M AMEZAGA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PSY14696
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY0327
NV
103TB0200X
Cognitive & Behavioral Psychologist
PSY14696
CA
103TB0200X
Cognitive & Behavioral Psychologist
PY0327
NV
103TC0700X
Clinical Psychologist
PSY14696
CA
103TC0700X
Clinical Psychologist
Primary
PY0327
NV
103TF0200X
Forensic Psychologist
PSY14696
CA
103TF0200X
Forensic Psychologist
PY0327
NV
103TR0400X
Rehabilitation Psychologist
PSY14696
CA
103TR0400X
Rehabilitation Psychologist
PY0327
NV
Other
Enumeration date
04/25/2008
Last updated
07/17/2012
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