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Organization
SUNRISE PSYCHOLOGICAL SERVICES, PC
Active
Organization
SUNRISE PSYCHOLOGICAL SERVICES, PC
Active
Other names
Sunrise Counseling Group, Surnise Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GARY MCCLURE PH.D. (PRESIDENT/OWNER)
(916) 782-3800
Entity
Organization
Contact information
Practice address
729 SUNRISE AVE STE 101, ROSEVILLE, CA 95661-4504
(916) 782-3800
(916) 782-3820
Mailing address
729 SUNRISE AVE STE 101, ROSEVILLE, CA 95661-4504
(916) 782-3800
(916) 782-3820
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124103346
NPI
CA
01
—
1386313252
NPI
—
01
—
1720471766
NPI
CA
01
—
1811061864
NPI
CA
01
—
1932457493
NPI
CA
Enumeration date
10/10/2019
Last updated
10/04/2021
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