Individual
EILEEN W. PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4513 EDGEWATER DR, GREENWOOD, CA 95635-9635
(619) 569-0938
Mailing address
4513 EDGEWATER DR, GREENWOOD, CA 95635-9635
(619) 569-0938
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 12736
CA
Other
Enumeration date
10/17/2007
Last updated
07/21/2022
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