Individual
LEE DONALD OCKENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E ST STE 2E, DAVIS, CA 95616-4572
(530) 341-8180
Mailing address
105 E ST STE 2E, DAVIS, CA 95616-4572
(530) 341-8180
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38216
CA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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