Individual
DR. JOSEPH W TIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5646 OAK GROVE AVE, OAKLAND, CA 94618-1243
(510) 912-3438
Mailing address
5646 OAK GROVE AVE, OAKLAND, CA 94618-1243
(510) 912-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22884
CA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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