| Doctor Name: | MARTA SIMOPOULOS PICKENS |
| NPI Number: | 1134541998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., CLINICAL PSYC |
| License Number: | PSY19844 |
| Business Practice Address: | 4944 Windplay Dr. St. 320 El Dorado Hills, CA - 95672 |
| Business Phone Number: | 9169334195 |
| Business Fax Number: | 5306722418 |
| Mailing Address: | 4944 Windplay Dr., St. 320 EL DORADO HILLS |
| State: | CA |
| Postal Code: | 95672 |
| Phone Number: | 9169334195 |
| Fax Number: | 5306722418 |
| NPI Enumeration Date: | 01/14/2014 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |