Individual
DR. JEREMY SUNDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1035 SUNCAST LN STE 120, EL DORADO HILLS, CA 95762-9339
(858) 758-0587
Mailing address
4641 POST ST UNIT 5255, EL DORADO HILLS, CA 95762-3011
(858) 758-0587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36617
CA
103TC0700X
Clinical Psychologist
Primary
PSY36617
CA
103TC1900X
Counseling Psychologist
LCP01559
KS
103TC1900X
Counseling Psychologist
Primary
LMLP03358
KS
Other
Enumeration date
11/06/2024
Last updated
03/30/2026
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