Individual provider · Type 1 NPI

Laura Mayorga

Clinical Psychologist · San Rafael, CA

NPI number 1356718464 Active

Practice location

605 B St
San Rafael, CA 94901-3805

Call (415) 250-1274 Map

Fax (888) 365-0277

Mailing address

PO Box 6062
San Rafael, CA 94903-0062

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY19045 (CA)
Clinical Child & Adolescent Psychologist	103TC2200X	PSY19045 (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 1356718464

Laura Mayorga's National Provider Identifier is 1356718464, issued on Aug 24, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Rafael, CA. The record was last updated on Aug 24, 2015.