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Organization
PATHFINDER PSYCHOLOGICAL SERVICES, INC.
Active
Organization
PATHFINDER PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY THOMAS PSYD (CHIEF EXECUTIVE OFFICER)
(510) 698-9311
Entity
Organization
Contact information
Practice address
600 GRAND AVE # 301, OAKLAND, CA 94610-3548
(510) 698-9311
Mailing address
3206 ETTIE ST, OAKLAND, CA 94608-4016
(510) 698-9311
(510) 373-2573
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY28843
CA
261QM0850X
Adult Mental Health Clinic/Center
PSY28843
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PSY28843
CA
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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