Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOROTHY MARIE MANDEL, PSYCHOLOGY LICENSE
Active Sole ProprietorDR. DOROTHY MARIE MANDEL, PSYCHOLOGY LICENSE is a Adult Development & Aging Psychologist healthcare provider located in SANTA ROSA, California. NPI 1679882880 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1679882880
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2010 (15.885048598995 yrs)
- Last Updated
- Feb 20, 2020
- Licenses
-
PSY23697 (CA)PSY23697 (CA)PSY23697 (CA)PSY23697 (CA)PSY23697 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1144 SONOMA AVESTE 117SANTA ROSA, CA, 954054812Browse CA providers · Browse ZIP 95405
- Phone
- 7073223222
- Fax
- 7075261913
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Child, Clinical Psychologist
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.