Basic Information
| Provider Information | |||||||||
| NPI: | 1275974388 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUARTE | ||||||||
| FirstName: | CLAUDIA | ||||||||
| MiddleName: | YVETTE | ||||||||
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| Credential: | BS CRIMINAL JUSTICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8000 PAINTER AVE | ||||||||
| Address2: | SPIRITT FAMILYSERVICES | ||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906022505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629037000 | ||||||||
| FaxNumber: | 5626931805 | ||||||||
| Practice Location | |||||||||
| Address1: | 8000 PAINTER AVE | ||||||||
| Address2: | SPIRITT FAMILYSERVICES | ||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906022505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629037000 | ||||||||
| FaxNumber: | 5626931805 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2013 | ||||||||
| LastUpdateDate: | 12/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | N | Behavioral Health & Social Service Providers | Counselor | 225400000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |
No ID Information.