Individual
CHARLINE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.ED., PH.D.
Contact information
Practice address
3225 DEER PARK DR # 2, STOCKTON, CA 95219-2376
(209) 953-8768
Mailing address
3225 DEER PARK DR # 2, STOCKTON, CA 95219-2376
(209) 953-8768
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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