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Dr. Mary J Lague, PSYCHOLOGISTPSYD
Clinical Psychologist in Santa Rosa, California
NPI 1215962592

Mary J Lague is a Clinical Psychologist based in Santa Rosa, CA and is specialized in Clinical. Mary J Lague practices in Santa Rosa, CA and has the professional credentials of PSYCHOLOGISTPSYD. The NPI Number for Mary J Lague is 1215962592 and holds a License No. PSY17928 (California).

The current practice location address for Mary J Lague is 403 Chinn St, Santa Rosa, CA and can be reached out via phone at 707-575-9522. You can also correspond with Mary J Lague through the mailing address at 1208 MONROE ST, SANTA ROSA, CA - 95404-3536 (mailing address contact number: 707-575-9522).

Location: 403 Chinn St, Santa Rosa, CA, 95404-3536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215962592
Provider Name
Mary J Lague
Credential
PSYCHOLOGISTPSYD
Provider Entity Type
Individual
Gender
Female
Address
403 Chinn St, Santa Rosa, CA, 95404-3536
Phone Number
707-575-9522
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17428 01 CA PSYCH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
403 Chinn St
City
Santa Rosa
State
California
Zip
95404-4338
Phone Number
707-575-9522
Fax Number
person
Provider Business Mailing Address Details
Address
1208 Monroe St
City
Santa Rosa
State
California
Zip
95404-3536
Phone Number
707-575-9522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY17928 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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