IndividualActive
Amy Tackett, PHD, LP
NPI 1144642042 · Forensic Psychologist · Salida, CA
Provider details
- NPI number
- 1144642042
- Entity type
- Individual
- Primary specialty
- Forensic PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- No
- License
- 26063 (CA)
Practice location
5222 Pirrone Ct Ste 101a
Salida, CA 95368-9072
Phone: (925) 282-1778
Mailing address
5222 Pirrone Ct Ste 101a
Salida, CA 95368-9072
Registry dates
- Enumerated
- 2014-01-11
- Last updated
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.