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Theresa Gannon, PHD
Clinical Neuropsychologist in Sacramento, California
NPI 1548243413

Theresa Gannon is a Clinical Neuropsychologist based in Sacramento, CA. Theresa Gannon practices in Sacramento, CA and has the professional credentials of PHD. The NPI Number for Theresa Gannon is 1548243413 and holds a License No. PSY16008 (California).

The current practice location address for Theresa Gannon is 2825 50Th St, Sacramento, CA and can be reached out via phone at 916-703-0290.

Location: 2825 50Th St, Sacramento, CA, 95817-2308
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Provider Profile Details
NPI Number
1548243413
Provider Name
Theresa Gannon
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2825 50Th St, Sacramento, CA, 95817-2308
Phone Number
916-703-0290
Fax Number
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY16008 01 CA PSYCHOLOGIST LICENSE #
GR002104M 01 CA MEDI-CAL GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2825 50Th St
City
State
Zip
95817-2308
Phone Number
916-703-0290
Fax Number
person
Provider Business Mailing Address Details
Address
2825 50Th St
City
State
Zip
95817-2308
Phone Number
916-703-0290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
PSY16008 (California)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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