Provider Demographics
NPI:1780383760
Name:SOLANO PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:SOLANO PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCARVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:707-334-1544
Mailing Address - Street 1:101 W AMERICAN CANYON RD STE 508-291
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1162
Mailing Address - Country:US
Mailing Address - Phone:707-334-1544
Mailing Address - Fax:
Practice Address - Street 1:101 W AMERICAN CANYON RD STE 508-291
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-1162
Practice Address - Country:US
Practice Address - Phone:707-334-1544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty