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Contact Information

MARY LARENAS, PSY.D.
39198 STATE ST
FREMONT, CA94538-1436
 Phone: 510-797-4911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY LARENAS · (Female)

NPI Number 1669744173
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 01/30/2012
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSB35897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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