Illume Psychology Incorporated
Illume Psychology Incorporated is a Clinical Child & Adolescent Psychologist in Petaluma, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
245 Kentucky St Ste APetaluma, CA 94952
Phone: (707) 216-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X |
|---|
Record details
| NPI number | 1952070252 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larissa Laska-Ruebusch — President · (707) 216-1612 |
| NPI enumerated | September 9, 2021 |
| Last updated in NPPES | September 9, 2021 |
| Certification date | September 9, 2021 |
| Mailing address | 245 Kentucky Street, Suite A, Petaluma, CA 94952 |
Other providers in Petaluma
-
Dr. Jessica Anne Hobson, PHD
216 Sunnyslope Ave, Petaluma, CA 94952-4137 · (707) 843-1576
-
Dr. Jorge Saavedra, PSYD
7 4th St, Petaluma, CA 94952-3043 · (510) 684-9100