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Jimmy Lee Matto-shepard, PHD
Psychologist in Petaluma, California
NPI 1205036357

Jimmy Lee Matto-shepard is a Psychologist based in Petaluma, CA. Jimmy Lee Matto-shepard practices in Petaluma, CA and has the professional credentials of PHD. The NPI Number for Jimmy Lee Matto-shepard is 1205036357 and holds a License No. PSY15031 (California).

The current practice location address for Jimmy Lee Matto-shepard is 1 Bodega Ave, Petaluma, CA and can be reached out via phone at 707-762-1670.

Location: 1 Bodega Ave, Petaluma, CA, 94952-2666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205036357
Provider Name
Jimmy Lee Matto-shepard
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1 Bodega Ave, Petaluma, CA, 94952-2666
Phone Number
707-762-1670
Fax Number
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Bodega Ave
City
Petaluma
State
California
Zip
94952-2666
Phone Number
707-762-1670
Fax Number
person
Provider Business Mailing Address Details
Address
1 Bodega Ave
City
Petaluma
State
California
Zip
94952-2666
Phone Number
707-762-1670
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY15031 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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