Individual
ELIZABETH PASIPANODYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 793-5719
Mailing address
828 S BASCOM AVE STE 280, SAN JOSE, CA 95128-2653
(408) 649-9756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30100
CA
Other
Enumeration date
05/19/2015
Last updated
11/03/2021
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