Individual
DR. SRBUI SABRINA DERTSAKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PSY.D.
Contact information
Practice address
1745 ENTERPRISE DR, FAIRFIELD, CA 94533-5801
(510) 318-4461
(707) 419-4952
Mailing address
900 N CHURCH ST, LODI, CA 95240-1282
(209) 333-1222
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
CA
Other
Enumeration date
06/29/2012
Last updated
12/04/2019
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