Individual
LUCINDA ANN FABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY 20776
Contact information
Practice address
104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3929
(831) 423-1532
(831) 423-1532
Mailing address
3054 ARLINGTON DR, APTOS, CA 95003
(831) 423-9444
(831) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY20776
PSYCHOLOGIST LICENCE NUMB
CA
Enumeration date
01/25/2007
Last updated
07/08/2007
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