Individual
ELISABETH KAYE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 814-1939
Mailing address
2577 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PSY27599
CA
103T00000X
Psychologist
—
—
Other
Enumeration date
02/14/2008
Last updated
03/22/2023
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