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Northern California Center For Integrative Psychotherapy, Ppc
Prescribing (Medical) Psychologist in Petaluma, California
NPI 1316527864

Northern California Center For Integrative Psychotherapy, Ppc is a Prescribing (Medical) Psychologist based in Petaluma, CA and is specialized in Prescribing (Medical). Northern California Center For Integrative Psychotherapy, Ppc practices in Petaluma, CA. The NPI Number for Northern California Center For Integrative Psychotherapy, Ppc is 1316527864 and holds a License No. (California).

The current practice location address for Northern California Center For Integrative Psychotherapy, Ppc is 1 Bodega Ave Ste 4, Petaluma, CA and can be reached out via phone at 707-992-5015.

Location: 1 Bodega Ave Ste 4, Petaluma, CA, 94952-2672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316527864
Provider Name
Northern California Center For Integrative Psychotherapy, Ppc
Credential
Provider Entity Type
Organization
Address
1 Bodega Ave Ste 4, Petaluma, CA, 94952-2672
Phone Number
707-992-5015
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Bodega Ave Ste 4
City
Petaluma
State
California
Zip
94952-2672
Phone Number
707-992-5015
Fax Number
person
Provider Business Mailing Address Details
Address
1 Bodega Ave Ste 4
City
Petaluma
State
California
Zip
94952-2672
Phone Number
707-992-5015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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