Individual
DR. SHAWNIESE ROCHELLE TILMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
747 52ND ST, EARLY CHILDHOOD MENTAL HEALTH PROGRAM, OAKLAND, CA 94609-1809
(510) 428-8408
(510) 238-9764
Mailing address
747 52ND ST, PSYCHOLOGICAL SERVICES, OAKLAND, CA 94609-1809
(510) 428-8408
(510) 601-3919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY27424
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY27424
CA
103TF0000X
Family Psychologist
PSY27424
CA
Other
Enumeration date
06/29/2007
Last updated
06/30/2023
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