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Organization

TLC BEHAVIORAL HEALTH AND PSYCHOLOGY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WIEDERSTEIN (CEO, CFO)
(510) 337-7950
Entity
Organization

Contact information

Practice address
1080 MARINA VILLAGE PARKWAY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Mailing address
1080 MARINA VILLAGE PARKWAY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary

Other

Enumeration date
04/24/2015
Last updated
05/10/2016
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