Healthcare Provider Details

I. General information

NPI: 1487636809
Provider Name (Legal Business Name): NAJJIYYA CHRISTINE ARNOLD PHD CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2005
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8365 STONYBECK CIR 7902 GERBER ROAD, SUITE 232
SACRAMENTO CA
95828-6649
US

IV. Provider business mailing address

8365 STONYBECK CIR 7902 GERBER ROAD, SUITE 232
SACRAMENTO CA
95828-6649
US

V. Phone/Fax

Practice location:
  • Phone: 916-705-6259
  • Fax: 916-897-9744
Mailing address:
  • Phone: 916-705-6259
  • Fax: 916-897-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSB94021376
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSB94021376
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSB94021376
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF 73333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: