Organization
ALAMEDA NEUROPSYCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA THOMAS PHD (OWNER)
(510) 337-9452
Entity
Organization
Contact information
Practice address
1516 OAK ST, SUITE 313, ALAMEDA, CA 94501-2947
(510) 337-9452
(510) 337-9452
Mailing address
1516 OAK ST, SUITE 313, ALAMEDA, CA 94501-2947
(510) 377-9452
(510) 377-9452
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7336365
AETNA
CA
Enumeration date
09/21/2011
Last updated
09/21/2011
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