Provider Demographics
NPI:1811596356
Name:CABARLES, ERLYNN DE PERIO (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ERLYNN
Middle Name:DE PERIO
Last Name:CABARLES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28000 S WESTERN AVE UNIT 425
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-1212
Mailing Address - Country:US
Mailing Address - Phone:510-334-9252
Mailing Address - Fax:
Practice Address - Street 1:28000 S WESTERN AVE UNIT 425
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-1212
Practice Address - Country:US
Practice Address - Phone:510-334-9252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-24
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW68154102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst