Individual
ANDREW M. PROKOPIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
840 3RD ST, SANTA ROSA, CA 95404-4502
(707) 292-1910
(707) 292-1910
Mailing address
PO BOX 2537, SEBASTOPOL, CA 95473-2537
(707) 292-1910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1061
NH
103TC0700X
Clinical Psychologist
Primary
PSY 20809
CA
Other
Enumeration date
07/29/2006
Last updated
10/20/2010
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