Individual
MICHELLE WYSOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15501 SAN PABLO AVE, RICHMOND, CA 94806-5704
(888) 524-5122
Mailing address
18801 SAN PABLO AVE G317, RICHMOND, CA 94609-5704
(888) 524-5122
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
05/01/2018
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