Organization
HARLEY VANDE STREEK
Active
Other names
Harley Vande Streek, PsyD, Psychological Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
HARLEY VANDE STREEK (OWNER)
(916) 259-1309
Entity
Organization
Contact information
Practice address
5701 LONETREE BLVD STE 223, ROCKLIN, CA 95765-3796
(916) 259-1309
Mailing address
5701 LONETREE BLVD STE 223, ROCKLIN, CA 95765-3796
(916) 259-1309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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