National Provider Identifier Database

MILDRED MEDINA, PSYD – NPI #1386808194
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

MILDRED MEDINA, PSYD
23500 KASSON RD
TRACY, CA95376
Phone: 209-835-4141
Fax: 209-830-3974
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for MILDRED MEDINA

NPI Number 1386808194
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/11/2008
Last updated 11/02/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: PSY21221
  • WA License #: PY 60037300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MILDRED MEDINA, PSYD

There are currently no reviews for MILDRED MEDINA, PSYD


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