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Contact Information

RICHARD P HALLIBURTON, PSYD
5100 OBYRNES FERRY RD
JAMESTOWN, CA95327
 Phone: 209-984-5291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RICHARD P HALLIBURTON · (Male)

NPI Number 1831625102
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 05/05/2017
Last updated 05/05/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY20801
Hospital affiliation(s) Not Available
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.

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