Maravilla, Carolina

Maravilla, Carolina is an individual health care provider with primary practice located at 625 Fair Oaks Ave Ste 300 , South Pasadena CA 91030-5805. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Maravilla, Carolina can be contacted via phone (626) 701-7430.

Contact Information

Primary practice address
625 Fair Oaks Ave Ste 300 South Pasadena CA 91030-5805
Phone: (626) 701-7430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1881311769
LBN Legal business name Maravilla, Carolina
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2022
Last updated Nov 20th, 2023 - about 2 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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