NPI 1114285772

Tim Gomersall, LEP

Practitioner School Psychologist Eureka, CA

Practice location

Address: 525 2nd St, Eureka, CA 95501-5107
Phone: (707) 407-7475
Fax: (707) 441-1913
Mailing address: PO Box 6131, Eureka, CA 95502-6131

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence LEP 2754 (CA)

Other Psychologist providers in California →

Registry record

NPI: 1114285772
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2012
Record last updated: 1 May 2012

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.