Individual
DENNIS BAIRD MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5867
Mailing address
2038 JOYCE LN, SUISUN CITY, CA 94534-9764
(707) 426-5388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19420
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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