Dr. Danessa Iza Mayo
Clinical Psychologist Clinical Child & Adolescent Psychologist
5838 Edison Pl Ste 100
Carlsbad
, California 92008-5520
Dr. Danessa Iza Mayo
Clinical Psychologist Clinical Child & Adolescent Psychologist
5838 Edison Pl Ste 100
Carlsbad
, California 92008-5520
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Danessa Iza Mayo
- 3893 Fiano Cmn
- Fremont, CA
- Zip : 94555-2280
- Phone :
Second Address
- Dr. Danessa Iza Mayo
- 5838 Edison Pl Ste 100
- Carlsbad, CA
- Zip : 92008-5520
- Phone : (760) 300-3664
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Is Dr. Danessa Iza Mayo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY29622 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY29622 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 29622 | CA |
National Provider Identifier
| NPI | 1043615073 |
|---|---|
| Provider Name | Dr. Danessa Iza Mayo |
| First Address | Fremont, CA 94555-2280 |
| Second Address | Carlsbad, CA 92008-5520 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2014 |
| Last Update Date | 24/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D6949774 | DRIVER'S LICENSE (01) | CA |
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.