Provider Demographics
NPI:1447444138
Name:ESCOBEDO, EUNICE (PSYD)
Entity type:Individual
Prefix:DR
First Name:EUNICE
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ENKI YOUTH & FAMILY SERVICES
Mailing Address - Street 2:3208 ROSEMEAD BLVD., SUITE 100
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731
Mailing Address - Country:US
Mailing Address - Phone:626-227-7001
Mailing Address - Fax:
Practice Address - Street 1:ENKI YOUTH & FAMILY SERVICES
Practice Address - Street 2:3208 ROSEMEAD BLVD., SUITE 100
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731
Practice Address - Country:US
Practice Address - Phone:626-227-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner