DR. MARY LAGUE, PSYCHOLOGIST PSY D
Psychologist - Clinical
Active
Individual
NPI: 1215962592
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | PSY17928 (CA) |
Frequently Asked Questions
NPI 1215962592 is the National Provider Identifier for DR. MARY LAGUE, PSYCHOLOGIST PSY D, a Psychologist - Clinical provider located in Santa Rosa, CA. This NPI was enumerated on July 12, 2006.
DR. MARY LAGUE, PSYCHOLOGIST PSY D practices at 403 CHINN ST, Santa Rosa, CA 95404.
Quick Facts
- NPI
- 1215962592
- Type
- Individual
- Enumerated
- Jul 12, 2006
- Last Updated
- Dec 30, 2021
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