Individual provider · Type 1 NPI

Eric Jonathan Fitzmedrud, PhD

Clinical Psychologist · San Pablo, CA

NPI number 1659400141 Active

Practice location

5636 Casino Ave
San Pablo, CA 94806-4232

Mailing address

221 Main Strret, #706
Los Altos, CA 94023-0706

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY23669 (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 1659400141

Eric Jonathan Fitzmedrud, PhD's National Provider Identifier is 1659400141, issued on Mar 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Pablo, CA. The record was last updated on Dec 6, 2021.