Individual
COURTNEY P. PERSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
220 CALIFORNIA DR, YOUNTVILLE, CA 94599-1412
(707) 944-4771
(707) 948-2530
Mailing address
220 CALIFORNIA DR, YOUNTVILLE, CA 94599-1412
(707) 944-4771
(707) 948-2530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY16816
PSYCHOLOGY LICENSE
CA
Enumeration date
01/15/2009
Last updated
01/15/2009
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