Soper Family Psychiatry Medical Group
Soper Family Psychiatry Medical Group provides Psychologist services in McKinleyville, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
1836 Central Ave Ste AMcKinleyville, CA 95519-3667
Phone: (707) 445-4705
Fax: (707) 445-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence G59380 (CA) |
|---|---|
| Psychologist | Taxonomy 103T00000X |
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
Record details
| NPI number | 1699158634 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Niki Moore — Office Manager · (707) 445-4705 |
| NPI enumerated | July 8, 2015 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 15, 2024 |
| Mailing address | 1836 Central Ave Ste A, McKinleyville, CA 95519-3667 |
Other providers in McKinleyville
-
Dr. Emily Sommerman
3135 Boeing Ave # 3, McKinleyville, CA 95519-9371 · (707) 616-7345