Individual
NORBERT RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
519 ESTUDILLO AVE, #N, SAN LEANDRO, CA 94577-4690
(209) 575-4575
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY5907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY059070
—
CA
Enumeration date
05/02/2006
Last updated
01/29/2008
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