NPI 1003911124

Marie Roman-Clifton, PHD

Practitioner Psychologist San Jose, CA

Practice location

Address: 751 S Bascom Ave Psychology Services-Pm&r, San Jose, CA 95128-2604
Phone: (408) 885-4445
Mailing address: 751 S Bascom Ave, San Jose, CA 95128-2604

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY15513 (CA)

Other Psychologist providers in California →

Rehabilitation Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TR0400X Licence PSY15513 (CA)

Registry record

NPI: 1003911124
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2006
Record last updated: 12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.