NPI 1013692029

Nicole Alvarez Bautista, BA

Practitioner Psychologist San Jose, CA

Practice location

Address: 2400 Moorpark Ave, San Jose, CA 95128-2631
Phone: (408) 975-2730

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013692029
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2023
Record last updated: 17 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.