Individual
DAVID JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2285 CHALLENGER WAY, SANTA ROSA, CA 95407
(510) 206-1217
Mailing address
1529 BARN OWL PL, SANTA ROSA, CA 95409-4354
(510) 206-1217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25571
CA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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