Organization
HEALTH PSYCHOLOGY SACRAMENTO
Active
Other names
Fair Oaks Therapeuticum
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URSULA R. STEHLE PHD (CLINICAL DIRECTOR)
(916) 962-0222
Entity
Organization
Contact information
Practice address
4112 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 962-0222
(916) 962-7510
Mailing address
4112 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 962-0222
(916) 962-7510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 13576
CA
106H00000X
Marriage & Family Therapist
LMFT 50205
CA
106H00000X
Marriage & Family Therapist
MFT 37218
CA
106H00000X
Marriage & Family Therapist
MFT 47221
CA
163W00000X
Registered Nurse
RN 427621
CA
163W00000X
Registered Nurse
RN213291
CA
261Q00000X
Clinic/Center
Primary
PSY13576
CA
Other
Enumeration date
08/16/2006
Last updated
01/28/2013
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