Dr. Andrea Tabuenca
Clinical Child & Adolescent Psychologist
401 Quarry Rd Mc 5719
Palo Alto
, California 94304-1419
Dr. Andrea Tabuenca
Clinical Child & Adolescent Psychologist
401 Quarry Rd Mc 5719
Palo Alto
, California 94304-1419
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Andrea Tabuenca
- 1804 Embarcadero Rd Suite 100
- Palo Alto, CA
- Zip : 94303-3341
- Phone :
Second Address
- Dr. Andrea Tabuenca
- 401 Quarry Rd Mc 5719
- Palo Alto, CA
- Zip : 94304-1419
- Phone : (650) 498-9111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 103TC2200X | CT |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY28819 | CA |
National Provider Identifier
| NPI | 1093192874 |
|---|---|
| Provider Name | Dr. Andrea Tabuenca |
| First Address | Palo Alto, CA 94303-3341 |
| Second Address | Palo Alto, CA 94304-1419 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2015 |
| Last Update Date | 11/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.