Richard B. Addison, PhD
Psychologist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1891817201
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1891817201
- Entity type
- Individual (NPI-1)
- Name
- Richard B. Addison
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY 9035 | CA | Yes |
Practice location
862 3rd StSanta Rosa, CA 95404-4529
Phone 707-576-9813
Mailing address
862 3rd StSanta Rosa, CA 95404-4529
Phone 707-576-9813
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