Individual
LAUREN TRACEY SEAY DASHJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
701 SOUTHAMPTON RD STE 209F, BENICIA, CA 94510-2055
(707) 816-0963
Mailing address
701 SOUTHAMPTON RD STE 209F, BENICIA, CA 94510-2055
(707) 816-0963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY28041
CA
103TC1900X
Counseling Psychologist
Primary
PSY28041
CA
Other
Enumeration date
06/20/2016
Last updated
04/05/2019
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