Carol Simpson Dawidowicz | La Mesa, CA • PECOS Search

Carol Simpson Dawidowicz

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5480 Baltimore Dr, Suite #250, La Mesa, CA 91942-2020

PECOS Enrollment

Based on the most recent information from CMS, provider Carol Simpson Dawidowicz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1528102175
Provider Type
Individual
Full Name
Dawidowicz, Carol Simpson
Title
Ms.
Credential
MFT

Gender
Female
Sole Proprietor
No
Enumeration Date
2/16/2007
Last Updated
6/10/2015

Contact Information

Practice Location

5480 Baltimore Dr, Suite #250, La Mesa, CA 91942-2020

Unlisted Fax

Mailing Location

3761 Villa Ter Apt 2, San Diego, CA 92104-3491

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 49433 California