Organization
AN ELEGANT SUFFICIENCY, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD RAYMOND CRYDER PHD (PRESIDENT)
(408) 813-3030
Entity
Organization
Contact information
Practice address
2431 W MARCH LN STE 200, STOCKTON, CA 95207-8211
(209) 200-8305
(209) 833-7800
Mailing address
PO BOX 7067, STOCKTON, CA 95267-0067
(209) 200-8305
(209) 833-7800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA439632
—
CA
Enumeration date
10/08/2020
Last updated
12/10/2024
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