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Individual

AMY L TACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
5222 PIRRONE CT STE 101A, SALIDA, CA 95368-9072
(925) 282-1778
Mailing address
5222 PIRRONE CT STE 101A, SALIDA, CA 95368-9072

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
26063
CA
103TF0200X
Forensic Psychologist
Primary
26063
CA

Other

Enumeration date
01/11/2014
Last updated
05/19/2026
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