Individual
MS. DANIELLE J HIBBITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA, PSY. D
Contact information
Practice address
20 N SUTTER ST STE 400, STOCKTON, CA 95202-2911
(510) 872-8122
Mailing address
20 N SUTTER ST STE 400, STOCKTON, CA 95202-2911
(510) 872-8122
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSB94022734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSB94022734
BOARD OF PSYCHOLOGY, PSYCHOLOGICAL ASSISTANT
CA
Enumeration date
07/25/2011
Last updated
09/19/2018
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