Dr Divina Theodosia Villanueva, PSYD in Morro Bay, CA - Psychologist

Dr Divina Theodosia Villanueva, PSYD is a Psychologist - Clinical based in Morro Bay, California. Dr Divina Theodosia Villanueva is licensed to practice in California (license number PSY30361) and her current practice location is 600 Morro Bay Blvd Unit 101, Morro Bay, California. She can be reached at her office (for appointments etc.) via phone at (775) 722-2969.

NPI number for Dr Divina Theodosia Villanueva is 1154649390 and her current mailing address is Po Box 155, Morro Bay, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154649390.

Contact Information

	Dr Divina Theodosia Villanueva, PSYD
	600 Morro Bay Blvd Unit 101, Morro Bay, CA 93442-1953
	(775) 722-2969
	Not Available

Healthcare Provider's Profile

Full Name	Dr Divina Theodosia Villanueva
Gender	Female
Speciality	Psychologist - Clinical
Location	600 Morro Bay Blvd Unit 101, Morro Bay, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154649390
Provider Enumeration Date: 05/12/2010
Last Update Date: 08/24/2023

Medical Identifiers

Medical identifiers for Dr Divina Theodosia Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154649390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY30361 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Divina Theodosia Villanueva is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Divina Theodosia Villanueva, PSYD Po Box 155, Morro Bay, CA 93443-0155 Ph: (775) 722-2969	Dr Divina Theodosia Villanueva, PSYD 600 Morro Bay Blvd Unit 101, Morro Bay, CA 93442-1953 Ph: (775) 722-2969

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Psychologist in Morro Bay, CA

Dr. Robin Lewis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 Morro Bay Blvd, Ste A, Morro Bay, CA 93442 Phone: 805-772-4698
Dr. Steven Lee Barron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2716 Hemlock Ave, Morro Bay, CA 93442 Phone: 805-772-5186
Ofelia Marleny Gomez Caballero, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 235 Atascadero Rd, Morro Bay, CA 93442 Phone: 805-771-1845

Dr Divina Theodosia Villanueva, PSYD - Psychologist in Morro Bay, CA