Dr. Richard Giovannoli
Clinical Psychologist Counseling Psychologist
874 Gravenstein Highway South Suite 12
Sebastopol
, California 95472-5603
Dr. Richard Giovannoli
Clinical Psychologist Counseling Psychologist
874 Gravenstein Highway South Suite 12
Sebastopol
, California 95472-5603
(707) 922-0294
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About
Features
Specialties
- Clinical Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Richard Giovannoli
- 874 Gravenstein Highway South Suite 12
- Sebastopol, CA
- Zip : 95472-5603
- Fax : (707) 922-0294
- Phone : (707) 824-8834
Second Address
- Dr. Richard Giovannoli
- 874 Gravenstein Highway South Suite 12
- Sebastopol, CA
- Zip : 95472-5603
- Fax : (707) 922-0294
- Phone : (707) 824-8834
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Is Dr. Richard Giovannoli a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY22314 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY22314 | CA |
| N | 103TC1900X | Counseling Psychologist | PSY22314 | CA |
National Provider Identifier
| NPI | 1013130806 |
|---|---|
| Provider Name | Dr. Richard Giovannoli |
| First Address | Sebastopol, CA 95472-5603 |
| Second Address | Sebastopol, CA 95472-5603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2007 |
| Last Update Date | 06/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.