Provider Demographics
NPI:1235564691
Name:HUFF, AMBER CECELIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:CECELIA
Last Name:HUFF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:CECELIA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:7165 N ASTORIA DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2673
Mailing Address - Country:US
Mailing Address - Phone:559-289-2465
Mailing Address - Fax:
Practice Address - Street 1:4083 N PEACH AVE APT 165
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-8405
Practice Address - Country:US
Practice Address - Phone:559-289-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
CAPSY28342103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist