Individual
CAROLINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
4000 MACARTHUR BLVD STE 600, NEWPORT BEACH, CA 92660-2517
(949) 432-9173
Mailing address
375 CAMINO DE LA REINA APT 340, SAN DIEGO, CA 92108-3198
(314) 250-7890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
29214
CA
103TH0100X
Health Service Psychologist
2016008719
MO
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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