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Organization
LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.
Active
Organization
LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA ADELINE WEYLAND PH.D. (CEO/PRESIDENT)
(510) 534-5354
Entity
Organization
Contact information
Practice address
2220 MOUNTAIN BLVD, SUITE 240, OAKLAND, CA 94611-2958
(510) 531-5354
(510) 222-3508
Mailing address
2220 MOUNTAIN BLVD, SUITE 240, OAKLAND, CA 94611-2958
(510) 531-5354
(510) 222-3508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14852
CA
Other
Enumeration date
07/17/2012
Last updated
07/31/2012
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