Individual
DR. DOROTHY MARIE MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY LICENSE
Contact information
Practice address
1144 SONOMA AVE, STE 117, SANTA ROSA, CA 95405-4812
(707) 322-3222
(707) 526-1913
Mailing address
1144 SONOMA AVE, STE 117, SANTA ROSA, CA 95405-4812
(707) 322-3222
(707) 526-1913
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY23697
CA
103TA0700X
Adult Development & Aging Psychologist
Primary
PSY23697
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23697
CA
103TC0700X
Clinical Psychologist
PSY23697
CA
103TC1900X
Counseling Psychologist
PSY23697
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY23697
CA
103TF0000X
Family Psychologist
PSY23697
CA
103TH0004X
Health Psychologist
PSY23697
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY23697
CA
Other
Enumeration date
10/05/2010
Last updated
02/20/2020
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