Individual
GEORGIA BETH BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-5445
(209) 476-3528
Mailing address
7300 WYNDHAM DR, SACRAMENTO, CA 95823-4913
(209) 476-5445
(209) 476-3528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 18368
CA
Other
Enumeration date
12/07/2006
Last updated
01/03/2022
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