Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC JONATHAN FITZMEDRUD, PH.D.
Active Sole ProprietorDR. ERIC JONATHAN FITZMEDRUD, PH.D. is a Clinical Psychologist healthcare provider located in SAN PABLO, California. NPI 1659400141 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN PABLO, CA
Registration Details
- NPI Number
- 1659400141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.47429793187 yrs)
- Last Updated
- Dec 6, 2021
- License
-
PSY23669 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5636 CASINO AVESAN PABLO, CA, 948064232Browse CA providers · Browse ZIP 94806
- Phone
- 6508147823
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in SAN PABLO, CA
| Name | Credential | NPI |
|---|---|---|
| JUDITH V YUEN | PH.D. | 1861549784 |
| DR. EDWARD FRANCIS DONNELLY | PH.D. | 1902951924 |
| DR. JENNIFER RENEE HOWARD | PSY.D. | 1841338852 |
| MS. RACHEL LEIGH GREENBERG | — | 1083855829 |
| DR. MARIAN E DALE | PHD | 1821370941 |
| DAVID VELLEMAN | PSYD | 1427308733 |
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.