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Surgical Neuromonitoring Service Inc
Health Service Psychologist in Santa Rosa, California
NPI 1063401461

Surgical Neuromonitoring Service Inc is a Health Service Psychologist based in Santa Rosa, CA and is specialized in Health Service. Surgical Neuromonitoring Service Inc practices in Santa Rosa, CA. The NPI Number for Surgical Neuromonitoring Service Inc is 1063401461 and holds a License No. PSY12851 (California).

The current practice location address for Surgical Neuromonitoring Service Inc is 3005 Santa Margarita Ct, Santa Rosa, CA and can be reached out via phone at 707-573-2341 and via fax at 707-539-2939.

Location: 3005 Santa Margarita Ct, Santa Rosa, CA, 95405-8205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063401461
Provider Name
Surgical Neuromonitoring Service Inc
Credential
Provider Entity Type
Organization
Address
3005 Santa Margarita Ct, Santa Rosa, CA, 95405-8205
Phone Number
707-573-2341
Fax Number
707-539-2939
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3005 Santa Margarita Ct
City
Santa Rosa
State
California
Zip
95405-8205
Phone Number
707-573-2341
Fax Number
707-539-2939
person
Provider Business Mailing Address Details
Address
3005 Santa Margarita Ct
City
Santa Rosa
State
California
Zip
95405-8205
Phone Number
707-573-2341
Fax Number
707-539-2939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
PSY12851 (California)
Definition
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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