Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 19341 | CA |
N | 103TC0700X | Clinical Psychologist | 19341 | CA |
N | 103TH0100X | Health Service | PSY19341 | CA |
NPI | 1023197654 |
---|---|
Provider Name | Dr. Carol H Pollard |
First Address | Sonoma, CA 95476 |
Second Address | San Rafael, CA 94903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |