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Individual

DR. PATRICK MACLEAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(707) 241-3559
(707) 772-5209
Mailing address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(707) 241-3559
(707) 772-5209

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY22989
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY22989
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
09/13/2007
Last updated
01/07/2022
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