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Search › California › Clinical Psychologist

Emilio Licea, PSYD

NPI 1336496710 · on the registry since 2012

Practice

Address
652 Petaluma Ave
Sebastopol, CA 95472
Phone
(707) 823-3166
Fax
(707) 869-8170
Organisation at this address
Prima Medical Foundation
Redwood Regional Medical Group
Sebastopol Family Pharmacy, Inc.
West County Health Centers, Inc.
West County Health Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California