Individual
DR. COLLEEN MARIE BECKET-DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 AILEEN ST, D, OAKLAND, CA 94608-2710
(707) 373-8811
Mailing address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(415) 236-2499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30368
CA
Other
Enumeration date
08/30/2012
Last updated
06/28/2019
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