Organization · Type 2 NPI

Surgical Neuromonitoring Service Inc

Health Service Psychologist · Santa Rosa, CA

NPI number 1063401461 Active

Practice location

3005 Santa Margarita Ct
Santa Rosa, CA 95405-8205

Fax (707) 539-2939

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XPSY12851 (CA)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1063401461

Surgical Neuromonitoring Service Inc's National Provider Identifier is 1063401461, issued on Oct 18, 2005. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 22, 2020.