Individual
DR. JASON CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
715 62ND ST, OAKLAND, CA 94609-1213
(415) 820-1484
Mailing address
715 62ND ST, OAKLAND, CA 94609-1213
(415) 820-1484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 26820
CA
Other
Enumeration date
02/05/2015
Last updated
07/02/2020
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