Organization · Type 2 NPI
South Drive Medical Clinic
Clinical Psychologist · Mountain View, CA
Practice location
515 S Drive, #15
Mountain View, CA 94040-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY4724 (CA) |
| Internal Medicine Physician | 207R00000X | G33788 (CA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1043248560
South Drive Medical Clinic's National Provider Identifier is 1043248560, issued on Jun 30, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Mountain View, CA. The record was last updated on Sep 11, 2025.