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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IVERSON M. EICKEN, PH.D.

Active Sole Proprietor

DR. IVERSON M. EICKEN, PH.D. is a Psychologist healthcare provider located in PETALUMA, California. NPI 1659418770 is currently active in the NPPES registry. Verify at CMS.

Psychologist · PETALUMA, CA

Registration Details

NPI Number
1659418770
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.508944804061 yrs)
Last Updated
May 31, 2013
License
PSY19750 (CA)
Sole Proprietor
Yes

Practice Information

Address
720 SOUTHPOINT BLVD
SUITE 202
PETALUMA, CA, 949547495
Browse CA providers · Browse ZIP 94954
Phone
7077755666
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in PETALUMA, CA

Name Credential NPI
DR. PATRICIA SUZANNE ALSUP PH.D. 1154349140
DR. YOLANDA BASOCO BRISCOE PSYD 1508967142
DR. JOHN BOGHOSIAN ARDEN PHD 1841351053
DR. LAURA J.S. KELLISON PSY.D. 1760538896
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.