Individual
L EMILY BROWN CABEZUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
626 N. RIDGE STREET, STE C, DANVILLE, VA 24541-5652
(434) 334-7143
(480) 557-5712
Mailing address
801 MILL RD, GOLDSBORO, NC 27534-8947
(336) 707-5871
(919) 988-1042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3648958
AETNA PROVIDER NUMBER
AZ
01
—
700885000
MAGELLAN
AZ
01
—
AZ 0618080
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/17/2005
Last updated
02/23/2017
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