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Individual

DR. CERI PAGANELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
1600 EUREKA RD BLDG C, ROSEVILLE, CA 95661-3027
(916) 474-2247

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21286
CA
103TC0700X
Clinical Psychologist
PSY 21286
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 21286
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21286
CALIFORNIA PSYCHOLOGY LIC
CA
Enumeration date
01/18/2007
Last updated
02/11/2022
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