Jody Burriss
NPI #1699256255 in Manteca, California
Provider Information
- NPI Number
- 1699256255
- Entity Type
- Individual
- Name
- Jody Burriss
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Aug 22, 2018
- Last Updated
- Aug 22, 2018
Practice Location
- Address
- 2271 W LOUISE AVE
- City
- Manteca
- State
- California
- ZIP Code
- 95337-8381
- Phone
- (209) 858-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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