Individual provider · Type 1 NPI

Caroline Ann Prouvost

Clinical Psychologist · Tustin, CA

NPI number 1396092565 Active

Practice location

13217 Jamboree Rd #161
Tustin, CA 92782

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY30457 (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 1396092565

Caroline Ann Prouvost's National Provider Identifier is 1396092565, issued on Aug 7, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tustin, CA. The record was last updated on Apr 30, 2026.