Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cdcr

Organization Psychologist · NPI 1134558240

Cdcr is a Psychologist in Ione, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

4001 Highway 104
Ione, CA 95640
Phone: (209) 274-4911
Fax: (209) 274-5147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY18841 (CA)

Record details

NPI number1134558240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ko Fang — Psychologist · (209) 274-4911
NPI enumeratedNovember 8, 2013
Last updated in NPPESNovember 8, 2013
Mailing address5215 Lotus Pond Way, Elk Grove, CA 95757-4342

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