Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MILDRED MEDINA, PSYD
Active Sole ProprietorDR. MILDRED MEDINA, PSYD is a Clinical Psychologist healthcare provider located in TRACY, California. NPI 1386808194 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TRACY, CA
Registration Details
- NPI Number
- 1386808194
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2008 (18.06849411606 yrs)
- Last Updated
- Nov 2, 2009
- Licenses
-
PSY21221 (CA)PY 60037300 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23500 KASSON RDTRACY, CA, 95376Browse CA providers · Browse ZIP 95376
- Phone
- 2098354141
- Fax
- 2098303974
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in TRACY, CA
| Name | Credential | NPI |
|---|---|---|
| CAROL KOCKE CARUSO | PHD | 1336202597 |
| DR. ERIN K SICARD | PSY19912 | 1346372950 |
| DR. TRIPTI BAWARI | PSYD | 1649504259 |
| DR. PATRICK VICTOR FAGGIANELLI JR. | PH.D. | 1467786079 |
| DR. GRANT JOEL FRANCESCHI | PSYD | 1073870150 |
| DR. DAWN BRAMLEY | PSYD | 1215277207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.