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Dr. Nicolette Bautista, PSYD
Clinical Psychologist in Folsom, California
NPI 1932430212

Nicolette Bautista is a Clinical Psychologist based in Folsom, CA and is specialized in Clinical. Nicolette Bautista practices in Folsom, CA and has the professional credentials of PSYD. The NPI Number for Nicolette Bautista is 1932430212 and holds a License No. 28563 (California).

The current practice location address for Nicolette Bautista is 110 Blue Ravine Rd Ste 104, Folsom, CA and can be reached out via phone at 916-505-4419 and via fax at 916-805-5145.

Location: 110 Blue Ravine Rd Ste 104, Folsom, CA, 95630-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932430212
Provider Name
Nicolette Bautista
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
110 Blue Ravine Rd Ste 104, Folsom, CA, 95630-4712
Phone Number
916-505-4419
Fax Number
916-805-5145
Provider Enumeration Date
01/26/2010
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
110 Blue Ravine Rd Ste 104
City
Folsom
State
California
Zip
95630-4712
Phone Number
916-505-4419
Fax Number
916-805-5145
person
Provider Business Mailing Address Details
Address
110 Blue Ravine Rd Ste 104
City
Folsom
State
California
Zip
95630-4712
Phone Number
916-505-4419
Fax Number
916-805-5145
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
28563 (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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