Redwood Psychology Center, Inc.

NPI 1154768307 - Psychologist - 103TP2701X

NPI Details
NPI 1154768307
Enumeration Date 05/29/2013
Last Updated 05/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANTONIO ANTONIO
Position EXECUTIVE DIRECTOR
Phone (707) 525-9223
Fax
Practice Location
709 DAVIS ST
SANTA ROSA CA, 95401-4767, US
Phone (707) 525-9223
Fax
Business Location
PO BOX 519
MONTE RIO CA, 95462-0519, US
Phone (707) 865-1200
Fax (707) 865-3151
Toxanomy
Taxonomy Code 103TP2701X
License State California
License Number 110000330
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According to our database, Redwood Psychology Center, Inc. NPI is 1154768307, taxonomy code is 103TP2701X and license number is 110000330, license state is located at California. Redwood Psychology Center, Inc. physically located at 709 Davis St, Santa Rosa CA, 95401-4767. NPI Number 1033115704 has the healthcare provider type.

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1154768307 NPI number is provided on an as is basis without warranty of any kind. 1154768307 is maintained by the National Plan & Provider Enumeration System. The contents of Redwood Psychology Center, Inc. are for informational purposes only.