Blue Sky Psychology Group, INC.
Psychologist, Clinical in Atascadero, CA. Organization (NPI-2).
NPI number1710782842
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1710782842
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Sky Psychology Group, INC.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
9700 El Camino Real Ste 300Atascadero, CA 93422-5581
Phone 805-975-5013
Mailing address
9700 El Camino Real Ste 300Atascadero, CA 93422-5581
Phone 805-975-5013
Authorized official
Jody E Debruin
President
8059755013
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