Sonoma Therapeutic Arts And Education, A Psychological Corporation | |
7 4th St Petaluma CA 94952-3043 | |
(707) 763-1091 | |
Not Available |
Full Name | Sonoma Therapeutic Arts And Education, A Psychological Corporation |
---|---|
Speciality | Psychologist |
Location | 7 4th St, Petaluma, California |
Authorized Official Name and Position | Richard Carolan (PRESIDENT) |
Authorized Official Contact | 7077631091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sonoma Therapeutic Arts And Education, A Psychological Corporation 7 4th St Ste 64 Petaluma CA 94952-7410 Ph: (707) 763-1091 | Sonoma Therapeutic Arts And Education, A Psychological Corporation 7 4th St Petaluma CA 94952-3043 Ph: (707) 763-1091 |
NPI Number | 1942924899 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942924899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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