Organization
CITY PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA VINCENT (OWNER)
(209) 529-7807
Entity
Organization
Contact information
Practice address
909 15TH ST STE 8, MODESTO, CA 95354-1130
(209) 529-7807
(209) 529-7919
Mailing address
PO BOX 721, MODESTO, CA 95353-0721
(209) 529-7807
(209) 529-7919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17076
CA
Other
Enumeration date
02/03/2015
Last updated
01/06/2023
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