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DR. BARBARA ELIABETH PROSNIEWSKI PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346626744

Individual Registrant:
DR. BARBARA ELIABETH PROSNIEWSKI PH.D.
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

Contact information for business:
132 LELAND ST  SANTA ROSA, CA 95404-4030 US
Tel: 707-583-2363  Fax: 707-595-5385

Registration Information:
NPI: 1346626744
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY17496

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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