| Caroline Daravi | |
|
1706 Plum Lane #110 Redland CA 92374 | |
| (909) 553-2573 | |
| (909) 677-4883 |
| Full Name | Caroline Daravi |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1706 Plum Lane #110, Redland, California |
| Authorized Official Name and Position | Caroline Daravi (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9095532573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Daravi 1706 Plum Lane #110 Redlands CA 92374 Ph: (909) 553-2573 | Caroline Daravi 1706 Plum Lane #110 Redland CA 92374 Ph: (909) 553-2573 |
| NPI Number | 1053855783 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053855783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |