Individual
ELLIOTT HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
130 STONY POINT RD STE J, SANTA ROSA, CA 95401-4120
(707) 308-4492
Mailing address
130 STONY POINT RD STE J, SANTA ROSA, CA 95401-4120
(707) 308-4492
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94024678
CA
Other
Enumeration date
05/22/2008
Last updated
02/03/2022
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