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Individual

EVELYN G SPRICKTOVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 MAIN ST, SAN QUENTIN, CA 94964-1000
(415) 454-1460
Mailing address
1 MAIN ST, SAN QUENTIN, CA 94964-1000
(415) 454-1460

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13541
CA

Other

Enumeration date
07/16/2013
Last updated
07/16/2013
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