DR. O. M. Custer, ED.D.

NPI #1134598295 in Ione, California

Provider Information

NPI Number
1134598295
Entity Type
Individual
Name
DR. O. M. Custer, ED.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
ED.D.
Enumeration Date
Sep 18, 2015
Last Updated
Sep 18, 2015

Practice Location

Address
14 WEST MAIN ST
Address 2
SUITE 5
City
Ione
ZIP Code
95640-1415
Phone
(209) 642-0724

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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