Individual
ELLA BATH-SHEVA SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355-9711
(209) 557-6300
(209) 557-6388
Mailing address
1501 CLAUS RD, MODESTO, CA 95355-9711
(209) 557-6300
(209) 557-6388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A19604
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
08/19/2025
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