Harley Vande Streek

NPI #1770261943 in Rocklin, California

Provider Information

NPI Number: 1770261943
Entity Type: Organization
Organization Name: Harley Vande Streek
Primary Specialty: Psychologist
Enumeration Date: Jul 7, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 5701 LONETREE BLVD STE 223
City: Rocklin
State: California
ZIP Code: 95765-3796
Phone: (916) 259-1309

Authorized Official

Name: HARLEY VANDE STREEK
Title: OWNER
Phone: (916) 259-1309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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