Organization
THREE BRIDGES PSYCHOLOGY & MEDIATION
Active
Other names
JSD Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELLA STREET PSYD (CEO)
(510) 847-7452
Entity
Organization
Contact information
Practice address
402 COLUSA AVE, EL CERRITO, CA 94530-3327
(510) 913-2232
Mailing address
3060 EL CERRITO PLZ # 405, EL CERRITO, CA 94530-4011
(510) 913-2232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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