Basic Information
| Provider Information | |||||||||
| NPI: | 1740451483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TERRY DUNSON | ||||||||
| FirstName: | FELECIA | ||||||||
| MiddleName: | NICHOLE | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3300 STOCKTON BLVD | ||||||||
| Address2: | CAARE DIAGNOSTIC AND TREATMENT CENTER | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958201451 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3300 STOCKTON BLVD | ||||||||
| Address2: | CAARE DIAGNOSTIC AND TREATMENT CENTER | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958201451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167346641 | ||||||||
| FaxNumber: | 9167346652 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2008 | ||||||||
| LastUpdateDate: | 03/21/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 017579 | NY | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.