NPI | 1447423959 |
---|---|
Other Name | REGENTS/UCDPBG/MIND INSTITUTE |
Entity Type | Organization |
Authorized Contact | TAMMY TROVATTEN Vice President, Gov't Reimbursement 916-855-2315 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2008-04-04 |
Last Update Date | 2025-05-16 |