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Mildred Medina, PSYD
NPI 1386808194 · on the registry since 2008 · sole proprietor
Practice
- Address
- 23500 Kasson Rd
Tracy, CA 95376 - Phone
- (209) 835-4141
- Fax
- (209) 830-3974
- Organisation at this address
- California Deparmen Of Correction
Corrections And Rehabilitation-HeadquartersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Also registered as
- Clinical Psychologist
- Licence states on file
- CA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-11-02
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