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Organization
MINDHEALTH, A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization
MINDHEALTH, A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PARKE PSY.D. (PSYCHOLOGIST)
(510) 282-8089
Entity
Organization
Contact information
Practice address
585 MANDANA BLVD STE 1, OAKLAND, CA 94610-2265
(510) 282-8089
Mailing address
585 MANDANA BLVD STE 1, OAKLAND, CA 94610-2265
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740361476
NPPES
CA
Enumeration date
08/23/2018
Last updated
08/23/2018
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