Organization
BLUE SKY PSYCHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY E DEBRUIN PH.D. (PRESIDENT)
(805) 975-5013
Entity
Organization
Contact information
Practice address
9700 EL CAMINO REAL STE 300, ATASCADERO, CA 93422-5581
(805) 975-5013
Mailing address
9700 EL CAMINO REAL STE 300, ATASCADERO, CA 93422-5581
(805) 975-5013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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