Individual
DR. JOHN THOMAS HAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9093 ELK GROVE BLVD # 206, ELK GROVE, CA 95624-2047
(808) 284-7770
(888) 371-4292
Mailing address
4935 61ST ST, SACRAMENTO, CA 95820-5703
(808) 284-7770
(888) 371-4292
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1124
HI
103T00000X
Psychologist
Primary
21388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124
PSYCHOLOGIST LICENSE
HI
01
—
21388
PSYCHOLOGIST LICENSE
CA
Enumeration date
06/28/2007
Last updated
09/16/2010
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