Provider Demographics
NPI:1174860084
Name:CAFFERO-TOLEMY, AMY ELIZABETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:CAFFERO-TOLEMY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:CAFFERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 SOUTH EUCLID AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101
Mailing Address - Country:US
Mailing Address - Phone:626-531-0725
Mailing Address - Fax:626-470-9948
Practice Address - Street 1:130 SOUTH EUCLID AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:626-531-0725
Practice Address - Fax:626-470-9948
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27655103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist