Organization
NEUROPSYCHOLOGICAL ASSOC OF CA-A PROFESSIONAL PSYCHOLOGICAL CORP
Active
Organization
NEUROPSYCHOLOGICAL ASSOC OF CA-A PROFESSIONAL PSYCHOLOGICAL CORP
Active
Other names
Neuropsychological Associates Of CA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN FRANCES CRIMMINS PSY.D. (PROVIDER)
(707) 526-5424
Entity
Organization
Contact information
Practice address
1260 N DUTTON AVE, STE 225, SANTA ROSA, CA 95401-4659
(707) 526-5424
(707) 526-5900
Mailing address
1260 N DUTTON AVE, STE 225, SANTA ROSA, CA 95401-4659
(707) 526-5424
(707) 526-5900
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23205
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY23205
PSYCHOLOGIST LICENSE
CA
Enumeration date
01/29/2009
Last updated
11/15/2019
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