Individual
DR. GORDON LEROY ULREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
433 F STREET, DAVIS, CA 95616
(530) 756-0276
(530) 758-1658
Mailing address
433 F STREET, DAVIS, CA 95616
(530) 756-0276
(530) 758-1658
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY7924
STATE OF CALIFORNIA
CA
Enumeration date
08/19/2008
Last updated
08/19/2008
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