Individual
DR. JULIE ANN DAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1411 MARSH ST, STE. 104, SAN LUIS OBISPO, CA 93401-2957
(805) 547-1720
(805) 547-1720
Mailing address
1411 MARSH ST, STE. 104, SAN LUIS OBISPO, CA 93401-2957
(805) 547-1720
(805) 547-1720
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY18057
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY18057
CA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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