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Organization

BAY AREA MHC PSYCHOLOGY PC

Active
Other names
Bridge to Bridge Psychotherapy Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLAS CHU PSYD (CO-DIRECTOR)
(415) 233-7990
Entity
Organization

Contact information

Practice address
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925-1130
(415) 233-7990
Mailing address
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925-1130
(415) 233-7990

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
06/28/2020
Last updated
07/01/2024
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