Briscoe, Yolanda Basoco
Briscoe, Yolanda Basoco is an sole proprietor health care provider with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954-6559. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Briscoe, Yolanda Basoco can be contacted via phone (707) 559-7500.Contact Information
Primary practice address
1179 N Mcdowell Blvd
Petaluma CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0920 | New Mexico |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY19649 | California |
Profile Details
| NPI number | 1508967142 |
|---|---|
| LBN Legal business name | Briscoe, Yolanda Basoco |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Aug 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508967142 | NPPES |
| New Mexico | MEDICAID | 4753852 |
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