Organization
PIVOTAL PATHWAYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANDECE SKINNER (LICENSED EDUCATIONAL PSYCHOLOGIST)
(707) 302-0664
Entity
Organization
Contact information
Practice address
1460 MARIA LN STE 300, WALNUT CREEK, CA 94596-5314
(707) 302-0664
Mailing address
1460 MARIA LN STE 300, WALNUT CREEK, CA 94596-5314
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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