Individual
CAROL VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
122 EAST ST, AUBURN, CA 95603-5119
(530) 889-8480
Mailing address
122 EAST ST, AUBURN, CA 95603-5119
(530) 889-8480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8619
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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