Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents/UCDPBG/MIND Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
(916) 855-2315
Entity
Organization
Contact information
Practice address
2825 50TH ST, SACRAMENTO, CA 95817-2308
(916) 703-0315
(916) 703-0350
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
05/16/2025
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