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Organization
HEALTHY MINDS HEALTHY BODY INSTITUTE
Active
Organization
HEALTHY MINDS HEALTHY BODY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA VOLPE-JOHNSTONE PHD (CLINICAL DIRECTOR)
(925) 484-0074
Entity
Organization
Contact information
Practice address
18 CROW CANYON CT STE 225, SAN RAMON, CA 94583-1740
(925) 484-0074
Mailing address
18 CROW CANYON CT STE 225, SAN RAMON, CA 94583-1740
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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