IndividualActive
Dorothy Mandel, PSYCHOLOGY LICENSE
NPI 1679882880 · Adult Development & Aging Psychologist · Santa Rosa, CA
Provider details
- NPI number
- 1679882880
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGY LICENSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY23697 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1144 Sonoma Ave
Ste 117
Santa Rosa, CA 95405-4812
Phone: (707) 322-3222
Fax: (707) 526-1913
Approximate (ZIP-level) locationGet directions
Mailing address
1144 Sonoma Ave
Santa Rosa, CA 95405-4812
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.