Provider Demographics
NPI:1386741106
Name:WEST, CECILE Y (PHD)
Entity type:Individual
Prefix:DR
First Name:CECILE
Middle Name:Y
Last Name:WEST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 N MILLBROOK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3363
Mailing Address - Country:US
Mailing Address - Phone:559-222-1862
Mailing Address - Fax:559-432-4051
Practice Address - Street 1:7171 N MILLBROOK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3363
Practice Address - Country:US
Practice Address - Phone:559-222-1862
Practice Address - Fax:559-432-4051
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8671103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00PL86710Medicare ID - Type Unspecified