Clint J Soares, PHD Valid NPI

Individual provider · Forensic Psychologist · Coalinga, CA

NPI

1588694236

Type

Individual (Type 1)

Primary specialty

Forensic Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TF0200X

License number

PSY18782 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-04

Last updated

2007-07-08