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Individual

ALLYSON M HOLMES-KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(510) 269-9121
(510) 269-9031
Mailing address
2548 JACOBS ST, HAYWARD, CA 94541-3384
(510) 432-0422

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
Primary
27770
CA
103TC0700X
Clinical Psychologist
27770
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RU 38C72
MEDI-CAL
CA
Enumeration date
06/05/2007
Last updated
02/06/2017
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