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SARAH DIVIN PH.D.

Forensic >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093077448

Individual Registrant:
 SARAH  DIVIN PH.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 PRISON RD  REPRESA, CA 95671-0002 US
Tel: 916-985-8610  Fax: --

Contact information for business:
PO BOX 290002  REPRESA, CA 95671-0002 US
Tel: --  Fax: --

Registration Information:
NPI: 1093077448
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TF0200XBehavioral Health & Social Service Providers
Psychologist
Forensic
CAPSY24202

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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