MEDICARE: DUVAL PSYCHOLOGICAL ASSOCIATES, PC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1467393249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUVAL PSYCHOLOGICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	1401 21ST ST # 14361
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-5226
Country	:	US
Telephone Number	:	916-500-7440
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 21ST ST # 14361
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-5226
Country	:	US
Telephone Number	:	916-500-7440
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LISA DUVAL
Credential	:	PH.D.
Telephone Number	:	916-500-7440

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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