Individual
ELENA PATRICIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
33025 ROAD 159, IVANHOE, CA 93235-1234
(210) 722-8054
Mailing address
33025 ROAD 159, IVANHOE, CA 93235-1234
(210) 722-8054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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