Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | PSY24593 | CA |
Y | 103G00000X | Clinical Psychologist | 24593 | CA |
Y | 103TC0700X | Clinical Psychologist | 24593 | CA |
NPI | 1326503814 |
---|---|
Provider Name | Belinda Stroud |
First Address | Penn Valley, CA 95946-9123 |
Second Address | Penn Valley, CA 95946-9123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2019 |
Last Update Date | 23/06/2021 |