Individual
DR. ETHAN BREGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4746 16TH AVE STE B, SACRAMENTO, CA 95820-2925
(916) 880-8079
Mailing address
3460 T ST, SPT A, SACRAMENTO, CA 95816-6654
(916) 880-8079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21884
CA
103TC0700X
Clinical Psychologist
3152
OR
103TC0700X
Clinical Psychologist
PSY21884
CA
Other
Enumeration date
04/29/2008
Last updated
02/08/2024
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