Organization · Type 2 NPI
Supportive Psychological Care
Adult Mental Health Clinic/Center · Orangevale, CA
NPI number
1366787269
Active
Practice location
9267 Greenback Ln, B98
Orangevale, CA 95662-4863
Fax (916) 988-7864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | PSY13748 (CA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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- Cyrus A. Moazam, PhDCognitive & Behavioral Psychologist Orangevale, CA NPI 1558574814
- Ernest Jarman Iii, PhDClinical Psychologist Orangevale, CA NPI 1063669307
- Georgia Lyn Brown I, DPTPhysical Therapist Orangevale, CA NPI 1164588216
- Karen E. Kelly, PhDPsychologist Orangevale, CA NPI 1255599783
- Ross William Lauger, FNPFamily Nurse Practitioner Orangevale, CA NPI 1801985189
- Wenda Jeanne Merz, P.TPhysical Therapist Orangevale, CA NPI 1396896916
About NPI 1366787269
Supportive Psychological Care's National Provider Identifier is 1366787269, issued on Dec 3, 2012. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Orangevale, CA. The record was last updated on Dec 3, 2012.