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NPI Code Detail

MEDICARE: DR. GURVEER DOSANJH PSYD

MEDICARE: DR. GURVEER DOSANJH PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2101YA0400XAddiction (Substance Use Disorder) Counselor
3103TC0700XClinical Psychologist34579CA

General Provider Information

NPI Number : 1457736514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GURVEER DOSANJH PSYD
Provider Business Mailing Address
First Line : 1960 VERONICA CT
Second Line :
City : YUBA CITY
State : CA
Zip : 95993-7670
Country : US
Telephone Number : 530-844-3936
Fax Number :
Provider Business Practice Location Address
First Line : 3620 W HAMMER LN
Second Line :
City : STOCKTON
State : CA
Zip : 95219-5532
Country : US
Telephone Number : 866-523-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 07/10/2024

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