Individual
LAURA SUZANNE CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1300 NATIONAL DR, SACRAMENTO, CA 95834-1947
(916) 928-2594
Mailing address
1300 NATIONAL DR, SACRAMENTO, CA 95834-1947
(916) 928-2594
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY19340
CA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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