Individual
BEVERLY SPERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
6541 6TH ST, RIO LINDA, CA 95673-3910
(916) 873-4106
Mailing address
6541 6TH ST, RIO LINDA, CA 95673-3910
(916) 873-4106
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24750
CA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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