Clearwater Psychological Services

NPI 1083810527 - Psychologist - 103T00000X

NPI Details
NPI 1083810527
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARON SHARON
Position EXECUTIVE DIRECTOR
Phone (510) 596-8137
Fax
Practice Location
345 38TH ST
OAKLAND CA, 94609-2703, US
Phone (510) 596-8137
Fax
Business Location
345 38TH ST
OAKLAND CA, 94609-2703, US
Phone (510) 596-8137
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY 16276
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According to our database, Clearwater Psychological Services NPI is 1083810527, taxonomy code is 103T00000X and license number is PSY 16276, license state is located at California. Clearwater Psychological Services physically located at 345 38th St, Oakland CA, 94609-2703. NPI Number 1033115704 has the healthcare provider type.

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1083810527 NPI number is provided on an as is basis without warranty of any kind. 1083810527 is maintained by the National Plan & Provider Enumeration System. The contents of Clearwater Psychological Services are for informational purposes only.