Individual
JASON FLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3823 V ST, SACRAMENTO, CA 95817-3145
(916) 455-2391
Mailing address
3823 V ST, SACRAMENTO, CA 95817-3145
(916) 455-2391
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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