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Organization
MT DIABLO MEMORY CENTER, A PSYCHOLOGICAL CORPORATION
Active
Organization
MT DIABLO MEMORY CENTER, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC FREITAG PSY.D. (EXECUTIVE DIRECTOR)
(925) 988-0569
Entity
Organization
Contact information
Practice address
1910 OLYMPIC BLVD STE 220, WALNUT CREEK, CA 94596-5071
(925) 988-0569
(925) 478-7930
Mailing address
1910 OLYMPIC BLVD STE 220, WALNUT CREEK, CA 94596-5071
(925) 988-0569
(925) 478-7930
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21325
CA
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
PSY21325
CA
Other
Enumeration date
01/02/2009
Last updated
04/30/2026
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