Individual provider · Type 1 NPI

Mary Champion

School Psychologist · Santa Rosa, CA

NPI number 1457248916 Active

Practice location

5340 Skylane Blvd
Santa Rosa, CA 95403-8246

Mailing address

2209 Midway Dr
Santa Rosa, CA 95405-4956

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLMFT96596 (CA)
School Psychologist Primary 103TS0200XLEP4613 (CA)

School Psychologist: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the …

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About NPI 1457248916

Mary Champion's National Provider Identifier is 1457248916, issued on Jun 18, 2025. The primary taxonomy on file is School Psychologist (103TS0200X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 18, 2025.