Ofelia Marleny Gomez Caballero, PPS

Individual provider Active NPI School Psychologist · Morro Bay, CA

NPI 1801437918 · NPPES record last updated Nov 5, 2019

Key facts

NPI
1801437918
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
235 Atascadero Rd
Morro Bay, CA 93442-1516
Phone
(805) 771-1845
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Yes

Addresses

Primary practice location

235 Atascadero Rd
Morro Bay, CA 93442-1516

Mailing address

1500 Lizzie St
San Luis Obispo, CA 93401-3062
Phone (805) 771-1841

Other providers in Morro Bay, CA

All providers in Morro Bay, CA · School Psychologist in California

Sources for this page

Verify at the official NPI Registry.