Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 24322 | CA |
N | 103TC0700X | Clinical Psychologist | 24322 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 24322 | CA |
N | 103G00000X | Clinical Psychologist | 24322 | CA |
N | 103TC0700X | Clinical Psychologist | 24322 | CA |
Y | 103TH0004X | Health Psychologist | 24322 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 24322 | CA |
NPI | 1194911982 |
---|---|
Provider Name | Dr. Amir Ramezani |
First Address | Sacramento, CA 95823-4671 |
Second Address | Sacramento, CA 95823-4671 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 23/07/2013 |