Individual
DR. THERESA VOLPE JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7820 APPLEWOOD WAY, PLEASANTON, CA 94588-4307
(925) 484-0074
Mailing address
PO BOX 886, PLEASANTON, CA 94566-0088
(925) 484-0074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY17748
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY17748
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY17748
CA
103TS0200X
School Psychologist
PSY17748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY17748
CA BOARD OF PSYCHOLOGY
CA
Enumeration date
10/05/2012
Last updated
10/05/2012
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