Individual provider · Type 1 NPI

Jasper Cory Hollingsworth, MD

Child & Adolescent Psychiatry Physician · Santa Rosa, CA

NPI number 1528076411 Active

Practice location

659 Cherry St
Santa Rosa, CA 95404-4280

Fax (707) 526-8310

Mailing address

1026 Maria Dr
Petaluma, CA 94954-7439

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XA068730 (CA)
Child & Adolescent Psychiatry Physician Primary 2084P0804XA068730 (CA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1528076411

Jasper Cory Hollingsworth, MD's National Provider Identifier is 1528076411, issued on Aug 4, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 20, 2021.