Individual
JACOB PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1470 MARIA LN STE 240, WALNUT CREEK, CA 94596-5399
(510) 214-3434
Mailing address
PO BOX 53, PORT COSTA, CA 94569-0053
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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