Organization
PRANAMIND LLC
Active
Other names
Prana Mind Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JACKSON PH. D. (CLINICAL DIRECTOR)
(877) 459-6463
Entity
Organization
Contact information
Practice address
459 W MACARTHUR BLVD, OAKLAND, CA 94609-2808
(877) 459-6463
(877) 459-6463
Mailing address
459 W MACARTHUR BLVD, OAKLAND, CA 94609-2808
(877) 459-6463
(877) 459-6463
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
10/27/2020
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