| NPI | 1558570937 |
|---|---|
| Other Name | FEE FOR SERVICE PSYCHOLOGIST |
| Entity Type | Organization |
| Authorized Contact | RUBY ZHANG Department Analyst 707-565-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-23 |