Provider Demographics
NPI:1366677247
Name:PRIETO, CAROLINA (PSY D)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:PRIETO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 S 4TH AVE STE B&C
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6478
Mailing Address - Country:US
Mailing Address - Phone:928-919-9521
Mailing Address - Fax:
Practice Address - Street 1:2180 S 4TH AVE STE B&C
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6478
Practice Address - Country:US
Practice Address - Phone:928-919-6513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
AZ4809103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor