Individual
GHAZALEH RAFATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 269-9030
Mailing address
5416 BARRETT AVE, EL CERRITO, CA 94530-1404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20555
CA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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