Individual
DR. DORANN LEE BOULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 PEABODY ROAD, VACAVILLE, CA 95695-4000
(707) 451-0182
(707) 451-3462
Mailing address
PO BOX 4000, VACAVILLE, CA 95696-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 9705
LICENSED PSYCHOLOGIST
CA
Enumeration date
07/05/2013
Last updated
07/05/2013
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