Individual
MRS. JULIE FRANCES FENNIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3554 ROUND BARN BLVD, 100, SANTA ROSA, CA 95403-0929
(707) 571-3729
Mailing address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18518
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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