Individual
DR. MICHAEL B CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
19314 JESSE LN STE 200, RIVERSIDE, CA 92508-5070
(909) 799-3777
Mailing address
12173 HIGHGATE CT, RANCHO CUCAMONGA, CA 91739-9132
(909) 210-4608
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
019900
NY
103G00000X
Clinical Neuropsychologist
Primary
31731
CA
103TC0700X
Clinical Psychologist
019900
NY
103TC0700X
Clinical Psychologist
31731
CA
103TC2200X
Clinical Child & Adolescent Psychologist
019900
NY
103TC2200X
Clinical Child & Adolescent Psychologist
31731
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
31731
CA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
31731
CA
Other
Enumeration date
07/01/2008
Last updated
04/09/2020
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