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
ZIP Code
95662-5858
Phone
(916) 797-0695

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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