Organization
GREGORY ALTER GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SETH ALTER PH.D. (PROVIDER/OWNER)
(510) 734-0885
Entity
Organization
Contact information
Practice address
31 CARROLL CT, SAN RAFAEL, CA 94903-3719
(510) 734-0885
Mailing address
3812 LAUREL AVE, OAKLAND, CA 94602-3925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY7422
PSYCHOLOGY
CA
Enumeration date
10/12/2021
Last updated
10/15/2021
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