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NPI Code Detail

MEDICARE: DR. PATRINA ANACKER WHEAT PSYD

MEDICARE:  DR. PATRINA ANACKER WHEAT  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
1103TC0700XClinical Psychologist022598NY
2103TC0700XClinical Psychologist27349CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101CROTHERCAMEDI-CAL

General Provider Information

NPI Number : 1962698548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRINA ANACKER WHEAT PSYD
Provider Business Mailing Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Provider Business Practice Location Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2007
Last Update Date : 08/28/2024

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Directions to “ DR. PATRINA ANACKER WHEAT PSYD” Practice Location

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