Provider Demographics
NPI:1861635005
Name:BERDAC, RUXANDRA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RUXANDRA
Middle Name:
Last Name:BERDAC
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 1:501 STUDENT HEALTH
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA - IRVINE
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-5200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:949-824-0323
Practice Address - Street 1:501 STUDENT HEALTH
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA - IRVINE
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-5200
Practice Address - Country:US
Practice Address - Phone:949-824-5301
Practice Address - Fax:949-824-0323
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18920103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical