Organization
DIABLO BEHAVIORAL HEALTHCARE
Active
Other names
dbh Blackhawk TMS Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHRYER (BUSINESS MANAGER)
(925) 648-4800
Entity
Organization
Contact information
Practice address
4185 BLACKHAWK PLAZA CIR, SUITE 210, DANVILLE, CA 94506-4694
(925) 648-2650
(925) 648-2530
Mailing address
PO BOX 1613, DANVILLE, CA 94526-6613
(925) 648-4800
(925) 648-2530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 14928
CA
103TS0200X
School Psychologist
LEP 2801
CA
1041C0700X
Clinical Social Worker
LCS 9942
CA
106H00000X
Marriage & Family Therapist
MFC 41716
CA
2084P0800X
Psychiatry Physician
A104000
CA
2084P0800X
Psychiatry Physician
C29074
CA
2084P0800X
Psychiatry Physician
C32821
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A104000
CA
2084P0804X
Child & Adolescent Psychiatry Physician
C32821
CA
235Z00000X
Speech-Language Pathologist
SP 10617
CA
235Z00000X
Speech-Language Pathologist
SP 2994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40428203
EDD
CA
Enumeration date
04/26/2007
Last updated
07/03/2014
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