Individual
CHARLES W DITHRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3865 HOWE ST, OAKLAND, CA 94611-5343
(510) 655-6650
Mailing address
3865 HOWE ST, OAKLAND, CA 94611-5343
(510) 655-6650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5701
CA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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