Individual
JOSEPH M SPECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
2050 LYNDELL TERR, SUITE 130, DAVIS, CA 95616-6205
(530) 759-1929
(530) 759-1929
Mailing address
2050 LYNDELL TERR, SUITE 130, DAVIS, CA 95616-6205
(530) 759-1929
(530) 759-1929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66488Z
BLUE SHIELD
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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