Organization · Type 2 NPI

Northern California Child Psychology Services Inc.

Health Service Psychologist · Santa Rosa, CA

NPI number 1801669072 Active

Practice location

4865 Old Redwood Highway, #104
Santa Rosa, CA 95403

Fax (888) 528-7464

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1801669072

Northern California Child Psychology Services Inc.'s National Provider Identifier is 1801669072, issued on Oct 31, 2023. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 31, 2023.