Provider Demographics
NPI:1427469600
Name:CAROL ANN R. CAESAR, PSYCHOLOGIST APC
Entity type:Organization
Organization Name:CAROL ANN R. CAESAR, PSYCHOLOGIST APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAESAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-430-6401
Mailing Address - Street 1:4332 CERRITOS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2557
Mailing Address - Country:US
Mailing Address - Phone:562-430-6401
Mailing Address - Fax:562-795-5560
Practice Address - Street 1:4332 CERRITOS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2557
Practice Address - Country:US
Practice Address - Phone:562-430-6401
Practice Address - Fax:562-795-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10567261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center