Individual
DR. DAVINA SHALOM KOTULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4096 PIEDMONT AVE # 812, OAKLAND, CA 94611-5221
(510) 594-4322
Mailing address
4096 PIEDMONT AVE # 812, OAKLAND, CA 94611-5221
(510) 594-4322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15478
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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