Individual
EMILY BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22036 MONTGOMERY RD, SONORA, CA 95370-9657
(209) 765-6867
Mailing address
22036 MONTGOMERY RD, SONORA, CA 95370-9657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-00-0083
CA
103T00000X
Psychologist
Primary
PSY27538
CA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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