Laura Jean Havstad in Sebastopol - Clinical Child & Adolescent
Laura Jean Havstad - NPI 1801923396
Laura Jean Havstad is a Clinical Child & Adolescent in Sebastopol, California. Laura Jean Havstad practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Laura Jean Havstad is 1801923396. The last update date is 2007-07-08.
Laura Jean Havstad's current location address is 120 Pleasant Hill Ave N, Sebastopol, California. You can contact this provider via phone number 7078231848 and fax number 7078231848. The mailing address for Laura Jean Havstad is 120 Pleasant Hill Ave N, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Jean Havstad |
|---|---|
| Address | 120 Pleasant Hill Ave N, Sebastopol, California |
| Phone Number | 7078231848 |
| Fax Number | 7078231848 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1801923396 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 Pleasant Hill Ave N |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954723164 |
| Phone Number | 7078231848 |
| Fax Number | 7078231848 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY 6690 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the Laura Jean Havstad's 1801923396?
The Laura Jean Havstad's NPI (National Provider Identifier) Number is 1801923396. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Laura Jean Havstad's facilities are situated?
The facilities of Laura Jean Havstad are physically located at the following address: 120 Pleasant Hill Ave N, Sebastopol, CA, 954723164.
What is Laura Jean Havstad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Laura Jean Havstad's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801923396 to Laura Jean Havstad?
The Centers for Medicare & Medicaid Services assigned the 1801923396 to Laura Jean Havstad on 2007-02-28.
As of what date were the details pertaining to Laura Jean Havstad last refreshed?
The information related to the Laura Jean Havstad, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA