Provider Demographics
NPI:1699899872
Name:FERRER, RIZALDY R (PHD)
Entity type:Individual
Prefix:DR
First Name:RIZALDY
Middle Name:R
Last Name:FERRER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E FOOTHILL BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2600
Mailing Address - Country:US
Mailing Address - Phone:626-808-4149
Mailing Address - Fax:
Practice Address - Street 1:317 E FOOTHILL BLVD STE 208
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2600
Practice Address - Country:US
Practice Address - Phone:626-808-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23657103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical