Individual
DR. BETTY LYNN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 792-6696
Mailing address
390 50TH ST, OAKLAND, CA 94609-2254
(510) 428-2175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 13254
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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