Organization
ANDREW POTTER, PH.D., PSYCHOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW POTTER PH.D. (PSYCHOLOGIST)
(617) 816-1818
Entity
Organization
Contact information
Practice address
1460 MARIA LN STE 300, WALNUT CREEK, CA 94596-5314
(617) 816-1818
Mailing address
2320 SARITA CT, PINOLE, CA 94564-1527
(617) 816-1818
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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