SHASTA IHORN, PHD

Psychologist

Active Individual
NPI: 1063824019

Practice Address

1761 BROADWAY ST
STE 100
Vallejo, CA 94589

Phone: (707) 645-2700

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes -

Frequently Asked Questions

NPI 1063824019 is the National Provider Identifier for SHASTA IHORN, PHD, a Psychologist provider located in Vallejo, CA. This NPI was enumerated on May 27, 2014.
SHASTA IHORN, PHD practices at 1761 BROADWAY ST, STE 100, Vallejo, CA 94589.

Quick Facts

NPI
1063824019
Type
Individual
Enumerated
May 27, 2014
Last Updated
May 27, 2014

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