Individual
CARLOS FERNANDO SAUCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
11260 WILBUR AVE, SUITE 303, NORTHRIDGE, CA 91326-2450
(818) 362-5454
(818) 362-1722
Mailing address
11260 WILBUR AVE, SUITE 303, NORTHRIDGE, CA 91326-2450
(818) 362-5454
(818) 362-1722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY7298
CA
Other
Enumeration date
09/13/2005
Last updated
08/03/2011
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