Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. YOLANDA BASOCO BRISCOE, PSYD
Active Sole ProprietorDR. YOLANDA BASOCO BRISCOE, PSYD is a Psychologist healthcare provider located in PETALUMA, California. NPI 1508967142 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PETALUMA, CA
Registration Details
- NPI Number
- 1508967142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2006 (19.840193471351 yrs)
- Last Updated
- Aug 10, 2022
- Licenses
-
0920 (NM)PSY19649 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1179 N MCDOWELL BLVDPETALUMA, CA, 949546559Browse CA providers · Browse ZIP 94954
- Phone
- 7075597500
- Fax
- 7075597620
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA SUZANNE ALSUP | PH.D. | 1154349140 |
| DR. JOHN BOGHOSIAN ARDEN | PHD | 1841351053 |
| DR. LAURA J.S. KELLISON | PSY.D. | 1760538896 |
| DR. IVERSON M. EICKEN | PH.D. | 1659418770 |
| DR. LIZA JILL RAVITZ | LIZA RAVITZ, PH.D | 1578698619 |
| DR. GARY L BUCK | PHD | 1841313418 |
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.