IndividualActive
Carla Back-Madruga, PHD
NPI 1073940086 · Clinical Neuropsychologist · Playa Del Rey, CA
Provider details
- NPI number
- 1073940086
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY14950 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8055 W Manchester Ave
Suite 235
Playa Del Rey, CA 90293-7960
Phone: (319) 827-9851
Approximate (ZIP-level) locationGet directions
Mailing address
8055 W Manchester Ave
Playa Del Rey, CA 90293-7960
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2013-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.