Individual provider · Type 1 NPI

Mildred Medina, PSYD

Clinical Psychologist · Tracy, CA

NPI number 1386808194 Active

Practice location

23500 Kasson Rd
Tracy, CA 95376

Call (209) 835-4141 Map

Fax (209) 830-3974

Mailing address

5203 18th Ave NE
Seattle, WA 98105-3409

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	PSY21221 (CA)
Clinical Psychologist Primary	103TC0700X	PY 60037300 (WA)

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 1386808194

Mildred Medina, PSYD's National Provider Identifier is 1386808194, issued on Jul 11, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tracy, CA. The record was last updated on Nov 2, 2009.