MR. Emilio Licea III PSYD

  • NPI 1336496710
According to our database, the NPI number for MR. Emilio Licea III PSYD is 1336496710 and activated since 11 years ago. MR. Emilio Licea III PSYD is an individual provider who specializes in Clinical, and the primary practice location is 652 Petaluma Ave, Sebastopol, CA 95472. You can also contact MR. Emilio Licea III PSYD via telephone number is (707) 823-3166. Provider NPI information was last updated on 12/20/2018.

Recently Active NPIs

Overview of MR. Emilio Licea III PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/05/2012
  • Last updated: 12/20/2018

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PSY29447
  • License State: CA

Provider Mailing Address

  • Address: Po Box 1449
    Guerneville, CA 95446
  • Phone: 707-869-5977
  • Fax: 707-869-5976

Provider Practice Location

  • Address: 652 Petaluma Ave
    Sebastopol, CA 95472
  • Phone: 707-823-3166
  • Fax: 707-869-8170

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PSY29447
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Emilio Licea III PSYD?
  • A: The npi number for MR. Emilio Licea III PSYD is 1336496710.
  • Q: What are MR. Emilio Licea III PSYD's specialties?
  • A: MR. Emilio Licea III PSYD's specialties are Clinical and different specialities.
  • Q: What is the medical license for MR. Emilio Licea III PSYD?
  • A: The medical license number for MR. Emilio Licea III PSYD is PSY29447 and issued in CA in USA.
  • Q: Where is MR. Emilio Licea III PSYD practice location?
  • A: MR. Emilio Licea III PSYD is practicing at 652 Petaluma Ave, Sebastopol, CA 95472.
  • Q: How to contact MR. Emilio Licea III PSYD?
  • A: You can contact MR. Emilio Licea III PSYD via 707-823-3166.