Individual
DR. GREGORY GONZAGA DESIERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 295-7402
Mailing address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 295-7402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PSY29598
CA
Other
Enumeration date
02/25/2009
Last updated
02/23/2018
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