Individual
DR. JOSE RAUL DEANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
835 UNIVERSITY AVE, SACRAMENTO, CA 95825-6724
(916) 927-7273
Mailing address
835 UNIVERSITY AVE, SACRAMENTO, CA 95825-6724
(916) 927-7273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19983
CA
103TC0700X
Clinical Psychologist
PSY19983
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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