Individual
CAROLYN BAHOH JAVETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1624 SANTA CLARA DR STE 145, ROSEVILLE, CA 95661-3500
(916) 764-7022
Mailing address
1624 SANTA CLARA DR STE 145, ROSEVILLE, CA 95661-3500
(916) 779-2455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY 24650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9559
SFGH INTERNAL USE ONLY
—
Enumeration date
04/25/2007
Last updated
01/19/2022
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