Individual
DEBORAH ANN SYREN-VITULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5905 SOQUEL DR, SUITE 600, SOQUEL, CA 95073-2855
(831) 332-3555
Mailing address
5905 SOQUEL DR, SUITE 600, SOQUEL, CA 95073-2855
(831) 332-3555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY14934
BOARD OF PSYCHOLOGY
CA
Enumeration date
07/12/2007
Last updated
11/09/2015
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