Michelle Wysopal

NPI #1720375975 in Richmond, California

Provider Information

NPI Number: 1720375975
Entity Type: Individual
Name: Michelle Wysopal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Enumeration Date: Jul 7, 2011
Last Updated: May 1, 2018

Practice Location

Address: 15501 SAN PABLO AVE
City: Richmond
State: California
ZIP Code: 94806-5704
Phone: (888) 524-5122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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