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Individual

DR. ANERIEN BOTHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5661 KEITH AVE, OAKLAND, CA 94618-1542
(510) 594-4338
Mailing address
5661 KEITH AVE, OAKLAND, CA 94618-1542
(510) 594-4338

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 24969
CA

Other

Enumeration date
01/24/2015
Last updated
01/24/2015
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