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ELBA I CAMPOS PSY.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1760750111
Individual Registrant: ELBA I CAMPOS PSY.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3102 EAST HIGHLAND AVENUE PATTON, CA 92369 US
Tel: 909-425-7000 Fax: --
Tel: 909-425-7000 Fax: --
Contact information for business:
1600 9TH STREET ROOM 250 SACRAMENTO, CA 95814-6414 US
Tel: 916-651-3154 Fax: 916-653-6376
Tel: 916-651-3154 Fax: 916-653-6376
Registration Information:
NPI: 1760750111
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | PSY24601 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
