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DR. BARBARA ELIABETH PROSNIEWSKI PH.D.
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1346626744
Individual Registrant:DR. BARBARA ELIABETH PROSNIEWSKI PH.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
19378 PINE GLADE GUERNEVILLE, CA 95446-9046 US
Tel: 707-865-5154 Fax: 707-865-5154
Tel: 707-865-5154 Fax: 707-865-5154
Contact information for business:
132 LELAND ST SANTA ROSA, CA 95404-4030 US
Tel: 707-583-2363 Fax: 707-595-5385
Tel: 707-583-2363 Fax: 707-595-5385
Registration Information:
NPI: 1346626744
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | CA | PSY17496 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
