Individual
DR. CAROL FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2000 EMBARCADERO, OAKLAND, CA 94606-5334
(415) 606-4961
(530) 268-4641
Mailing address
5548 FREMONT ST, OAKLAND, CA 94608-2608
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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