Individual
MRS. DEBRA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3294 ROYAL DR STE 13, CAMERON PARK, CA 95682-8500
(530) 677-4404
Mailing address
PO BOX 1688, SHINGLE SPRINGS, CA 95682-1688
(559) 977-3524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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