Individual
SHAIANNE DE REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
(510) 268-8120
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
(510) 268-8120
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
04/07/2026
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