Individual
DR. JERRY AUGUSTINE DIREGOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 771-7610
(916) 771-7650
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 771-7610
(916) 771-7650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY4274
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY4274
CA
Other
Enumeration date
12/14/2006
Last updated
09/11/2025
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