Individual
DR. AMY B PERCOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
(805) 466-6011
Mailing address
1600 9TH ST, ROOM 150, SACRAMENTO, CA 95814-6414
(916) 651-9476
(916) 651-8908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A777971
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
12/02/2008
Last updated
07/28/2016
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