Organization · Type 2 NPI

CDCR

Psychologist · Ione, CA

NPI number 1134558240 Active

Practice location

4001 Highway 104
Ione, CA 95640

Fax (209) 274-5147

Mailing address

5215 Lotus Pond Way
Elk Grove, CA 95757-4342

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY18841 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

21 other providers at this address

About NPI 1134558240

CDCR's National Provider Identifier is 1134558240, issued on Nov 8, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Ione, CA. The record was last updated on Nov 8, 2013.