Michael Bernard Vasquez Valid NPI
Individual provider · Clinical Psychologist · Represa, CA
- NPI
- 1043485923
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 15750 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Practice location
100 Prison Rd
Represa, CA 95671-3000
(916) 985-8610