Lucy You Her, PSY.D.

Individual provider Active NPI Clinical Psychologist · Ione, CA

NPI 1508041591 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1508041591
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY26712 (CA)
Practice address
4001 Hwy 104
Ione, CA 95640
Phone
(209) 274-4911
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PSY26712CAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26712 CA Yes

Addresses

Primary practice location

4001 Hwy 104
Ione, CA 95640

Mailing address

11841 Marsyas Way
Rancho Cordova, CA 95742-8057
Phone (612) 306-4473

Other providers in Ione, CA

All providers in Ione, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.