Nancy Lynn Brison-moll PHD

NPI 1053410878 - Psychologist - 103TC0700X

NPI Details
NPI 1053410878
Gender Female
Enumeration Date 09/21/2006
Last Updated 03/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
965 E YOSEMITE AVE STE 18
MANTECA CA, 95336-5944, US
Phone (209) 483-4498
Fax (209) 824-0010
Business Location
965 E YOSEMITE AVE STE 18
MANTECA CA, 95336-5944, US
Phone (209) 483-4498
Fax (209) 824-0010
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY 15243
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According to our database, Dr. Nancy Lynn Brison-moll PHD NPI is 1053410878, taxonomy code is 103TC0700X and license number is PSY 15243, license state is located at California. Nancy Lynn Brison-moll PHD physically located at 965 E Yosemite Ave Ste 18, Manteca CA, 95336-5944. NPI Number Nancy Lynn Brison-moll PHD has the Individual type.

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1053410878 NPI number is provided on an as is basis without warranty of any kind. 1053410878 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Lynn Brison-moll PHD are for informational purposes only.