Gonzalez-Idiart, Clarissa

Gonzalez-Idiart, Clarissa is an individual health care provider with primary practice located at 23370 Road 22 , Chowchilla CA 93610-8504. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Gonzalez-Idiart, Clarissa can be contacted via phone (559) 665-5531.

Contact Information

Primary practice address
23370 Road 22 Chowchilla CA 93610-8504
Phone: (559) 665-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1831553890
LBN Legal business name Gonzalez-Idiart, Clarissa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Apr 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831553890 NPPES
California Other 1417318569 CDCR

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