Individual
ANDREA FAYE DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COFFEE RD, MODESTO, CA 95355-4204
(209) 574-1685
Mailing address
1000 COFFEE RD, MODESTO, CA 95355-4204
(209) 574-1685
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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