Individual
DR. AMRITA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 GRAND AVE STE 380, OAKLAND, CA 94610-5054
(510) 394-2240
(510) 380-2558
Mailing address
3 COMMODORE DR # B261, EMERYVILLE, CA 94608-1646
(510) 394-2240
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY29199
CA
103T00000X
Psychologist
PSY29199
CA
103TC0700X
Clinical Psychologist
Primary
PSY29199
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY29199
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
06/23/2017
Last updated
05/09/2020
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