DR. Gregory Elisha Bottum, PSYD
NPI #1639101736 in Orangevale, California
Provider Information
- NPI Number
- 1639101736
- Entity Type
- Individual
- Name
- DR. Gregory Elisha Bottum, PSYD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9264 MADISON AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-5858
- Phone
- (916) 797-0695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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Organizations
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|---|---|
| Darrell Broaddus Psychological Services PC |
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