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DR. CAROL LYNN GANDOLFO PSY D NPI 1578594313


NPI Information

NPI: 1578594313
Provider Name: DR. CAROL LYNN GANDOLFO, PSY D
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
3530 WEST POMONA BLVD
POMONA, CA
ZIP 91769
Phone: (909) 595-1221
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DR. Carol Lynn Gandolfo, PSY D is an intellectual and developmental disabilities in Pomona, CA. DR. Carol Lynn Gandolfo, PSY D NPI is 1578594313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3530 WEST POMONA BLVD
POMONA, CA
ZIP 91769-100
Phone: (909) 595-1221

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesPSY16933CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.