Individual
DR. JESSICA ANNE LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2008 MORSE AVE, SACRAMENTO, CA 95825-2135
(916) 973-7329
Mailing address
8100 ACKERSON WAY, ANTELOPE, CA 95843-5342
(530) 320-0509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22271
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2006
Last updated
01/11/2022
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