Individual
DR. ANNELIE S. PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
433 S LINCOLN ST, SANTA MARIA, CA 93458-5525
(805) 349-9706
(805) 349-0576
Mailing address
433 S LINCOLN ST, SANTA MARIA, CA 93458-5525
(805) 349-9706
(805) 349-0576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL5452
—
CA
01
—
PSY5452
STATE LICENSING NO.
CA
Enumeration date
01/29/2006
Last updated
12/21/2010
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