Individual
DAWN LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-9282
Mailing address
1451 ROCKY RIDGE DR APT 2505, ROSEVILLE, CA 95661-3016
(408) 386-5144
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30707
CA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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