Provider Demographics
NPI:1760832125
Name:FRANCA MAGALHAES, ISABELA
Entity Type:Individual
Prefix:
First Name:ISABELA
Middle Name:
Last Name:FRANCA MAGALHAES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ISABELA
Other - Middle Name:
Other - Last Name:MAGALHAES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:225 E WARNER ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-1757
Mailing Address - Country:US
Mailing Address - Phone:310-570-9915
Mailing Address - Fax:
Practice Address - Street 1:510 16TH ST
Practice Address - Street 2:GIRLS INCORPORATED OF ALAMEDA COUNTY
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1520
Practice Address - Country:US
Practice Address - Phone:510-357-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32167103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical