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NPI Code Detail

MEDICARE: CHELSEA LEIGH DOMPELING PPS

MEDICARE:   CHELSEA LEIGH DOMPELING  PPS
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
1103TS0200XSchool Psychologist220142305CA

General Provider Information

NPI Number : 1891638680
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LEIGH DOMPELING PPS
Provider Business Mailing Address
First Line : 5885 E BONNYVIEW RD
Second Line :
City : REDDING
State : CA
Zip : 96001-4535
Country : US
Telephone Number : 530-225-0011
Fax Number :
Provider Business Practice Location Address
First Line : 5885 E BONNYVIEW RD
Second Line :
City : REDDING
State : CA
Zip : 96001-4535
Country : US
Telephone Number : 530-225-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ CHELSEA LEIGH DOMPELING PPS” Practice Location

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