Denise Rodriguez, M.A. EDS-SCHOOL PSYC

Individual provider Active NPI School Psychologist · Galt, CA

NPI 1235907767 · NPPES record last updated Dec 14, 2023

Key facts

NPI
1235907767
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
1018 C St. Ste 210
Galt, CA 95632
Phone
(209) 744-4545
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Galt Joint Union Elementary School District Past
since Dec 17, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Yes

Addresses

Primary practice location

1018 C St. Ste 210
Galt, CA 95632

Mailing address

997 Park Terrace Dr
Galt, CA 95632
Phone (709) 745-5462

Other providers in Galt, CA

All providers in Galt, CA · School Psychologist in California

Sources for this page

Verify at the official NPI Registry.