Individual
ELBA I CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3102 EAST HIGHLAND AVENUE, PATTON, CA 92369
(909) 425-7000
Mailing address
1600 9TH STREET, ROOM 250, SACRAMENTO, CA 95814-6414
(916) 651-3154
(916) 653-6376
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24601
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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