Individual
DR. ELLA BATH-SHEVA SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204-6032
(209) 645-4005
(209) 645-6344
Mailing address
6710 TAILWIND LN, STOCKTON, CA 95219-7010
(209) 406-2477
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
07/30/2026
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