Individual
LIA OSUNFUNLAYO BLAUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PSYD
Contact information
Practice address
4 ORINDA WAY BLDG B, #250, ORINDA, CA 94563-2515
(415) 840-0844
Mailing address
912 COLE ST # 368, SAN FRANCISCO, CA 94117-4316
(415) 840-0844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY35521
CA
Other
Enumeration date
04/27/2023
Last updated
12/19/2024
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