Individual provider · Type 1 NPI

Gregory Elisha Bottum, PSYD

Clinical Psychologist · Orangevale, CA

NPI number 1639101736 Active

Practice location

9264 Madison Ave
Orangevale, CA 95662-5858

Mailing address

PO Box 2803
Granite Bay, CA 95746-2803

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY 6405 (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 1639101736

Gregory Elisha Bottum, PSYD's National Provider Identifier is 1639101736, issued on Jul 7, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Orangevale, CA. The record was last updated on Jul 8, 2007.