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Individual

DR. PATRICIA K MASUDA-STORY

Active
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Individual

DR. PATRICIA K MASUDA-STORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY20385
CA
103TC0700X
Clinical Psychologist
Primary
PSY20385
CA
103TC0700X
Clinical Psychologist
PSY2973
CO
103TF0000X
Family Psychologist
PSY 20385
CA
103TF0200X
Forensic Psychologist
PSY20385
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 20385
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PL203850
BLUE SHIELD
CA
01
12006
COLLEGE HEALTH IPA
CA
01
2191850
COMPSYCH
CA
01
2287027
CIGNA
CA
01
9357265
AETNA
CA
05
PSY203850
CA
Enumeration date
06/04/2006
Last updated
09/03/2016
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