Healthcare Provider Details

I. General information

NPI: 1215575550
Provider Name (Legal Business Name): ELIZABETH ROJAS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 01/21/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER RAGSDALE DR BLDG A
MONTEREY CA
93940-5736
US

IV. Provider business mailing address

2615 SWEETWATER SPRINGS BLVD STE G PMB 1017
SPRING VALLEY CA
91978
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-3040
  • Fax: 831-886-3639
Mailing address:
  • Phone: 858-869-9474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY31515
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: